Active NPI
Elmer R Platz, PT
- Physical Therapist
- Vernon, NJ
National Provider Identifier
1407917214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00133700
- Practice address
- 418 State RT 515
Vernon, NJ 07462-3027 - Phone
- (973) 764-6136
- Fax
- (973) 764-4515
- NPI assigned
- Dec 13, 2006
- Last updated
- Jan 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00133700 | NJ | Primary |
| Physical Therapist | 225100000X | 004018-1 | NY |
Addresses
Primary practice location
418 State RT 515
Vernon, NJ 07462-3027
Mailing address
418 State RT 515
Vernon, NJ 07462-3027
Phone (973) 764-6136
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222054583 | Other | NJ | TAX IDENTIFICATION NUMBER |
| EP0Q554810 | Other | NY | EMPIRE BCBS PROVIDER NO. |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004018 | NY | MD | Acupuncturist |
| 40QA00133700 | NJ | MD | Physical Therapist |
| 004018-1 | NY | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Vernon, NJ
- NPI 1881935674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1407917214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 STATE RT 515",
"city": "VERNON",
"state": "NJ",
"postal_code": "074623027",
"telephone_number": "973-764-6136",
"fax_number": "973-764-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 STATE RT 515",
"city": "VERNON",
"state": "NJ",
"postal_code": "074623027",
"telephone_number": "973-764-6136",
"fax_number": "973-764-4515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATZ",
"first_name": "ELMER",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00133700",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "004018-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "222054583",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS PROVIDER NO.",
"identifier": "EP0Q554810",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vernon, NJ
- Northwest New Jersey Urgent Care Alliance PC
- Jordan O'Neill, MSW, LSW
- Erin K Palinski, RD, CDN, LDN
- Jesal Patel, PHARM D.
- Diane Platz, PT
- Joanne M Ploch, ATC
- Kori Jean Postma, PT
- Primary Care Partners, LLC (Internal Medicine of Vernon-Primary Care Partners Affiliate)
- Primary Care Partners, LLC (Pasquale J. Yaccarino, MD- Primary Care Partners Affiliate)
- Reenergize Counseling Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.