Active NPI
Jeff Grinkovitch, MPT
- Orthopedic Physical Therapist
- Dumont, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 40QA01134300
- Practice address
- 125 Washington Ave
Dumont, NJ 07628-3066 - Phone
- (201) 385-6272
- NPI assigned
- Oct 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 40QA01134300 | NJ | Primary |
Addresses
Primary practice location
125 Washington Ave
Dumont, NJ 07628-3066
Mailing address
14 Ruckner Rd
Westwood, NJ 07675-3308
Phone (201) 594-1118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Greenwood Ave
Montclair, NJ 07042-3649
Phone (973) 746-2424
182 Kinderkamack Rd
Park Ridge, NJ 07656-1331
Phone (551) 390-3171
440 Old Hook Rd
Emerson, NJ 07630-2302
Phone (201) 497-6752
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01134300 | NJ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Current | Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Orthopedic | Current | Accepting new patients |
| Rothman Orthopaedics of New Jersey, LLC | Current | Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Current | Accepting new patients | |
| Rothman Institute of New Jersey, P.a. | Current | Accepting new patients | |
| Mam Orthopaedics, PA | Past | Accepting new patients |
Locations
999 Route 73 N
Ste 401
Marlton, NJ 08053
Phone (609) 617-3546
1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424
524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591
68 River Rd
Summit, NJ 07901
Phone (908) 277-0800
1500 Pleasant Valley Way
Ste 102
West Orange, NJ 07052
Phone (973) 325-3422
576 Broadhollow Rd
Melville, NY 11747
Organizations & group practices 6
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.
-
- Occupational Therapist
- Sicklerville, NJ
- NPI 1215487772
Orthopedic
-
dba Rothman Orthopaedics Institute
- Orthopaedic Surgery Physician
- Marlton, NJ
- NPI 1215978630
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
-
- Occupational Therapist
- Mahwah, NJ
- NPI 1790235505
-
- Prosthetic/Orthotic Supplier
- Manahawkin, NJ
- NPI 1831611243
-
dba Sports Medicine and Orthopaedic Center of New Jersey
- Sports Medicine (Orthopaedic Surgery) Physician
- Hackensack, NJ
- NPI 1215248299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447348990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 RUCKNER RD",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "076753308",
"telephone_number": "201-594-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 WASHINGTON AVE",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076283066",
"telephone_number": "201-385-6272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINKOVITCH",
"first_name": "JEFF",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA01134300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dumont, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.