Active NPI
Andrea Banu
- Physical Therapist
- Bedminster, NJ
National Provider Identifier
1396370482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01913000
- Practice address
- 1 Robertson Dr Ste 20
Bedminster, NJ 07921-1716 - Phone
- (908) 719-2000
- NPI assigned
- Mar 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01913000 | NJ | Primary |
Addresses
Primary practice location
1 Robertson Dr Ste 20
Bedminster, NJ 07921-1716
Mailing address
22 Sulfrian Rd
New Providence, NJ 07974-1227
Phone (908) 656-4238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01913000 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kessler Institute for Rehabilitation Inc | Past | Accepting new patients | |
| Kessler Institute for Rehabilitation, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
-
- Rehabilitation Hospital
- Marlton, NJ
- NPI 1528512266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1396370482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SULFRIAN RD",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079741227",
"telephone_number": "908-656-4238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROBERTSON DR STE 20",
"city": "BEDMINSTER",
"state": "NJ",
"postal_code": "079211716",
"telephone_number": "908-719-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANU",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01913000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedminster, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.