Active NPI
Apollo Paranal
- Physical Therapist
- Lanoka Harbor, NJ
National Provider Identifier
1447934724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00590200
- Practice address
- 601 US Highway 9
Lanoka Harbor, NJ 08734-2213 - Phone
- (609) 242-2661
- NPI assigned
- Jun 15, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00590200 | NJ | Primary |
Addresses
Primary practice location
601 US Highway 9
Lanoka Harbor, NJ 08734-2213
Mailing address
59 Tuscany Dr
Jackson, NJ 08527-3169
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 |
|---|---|---|---|
| 40QA00590200 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1447934724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 TUSCANY DR",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085273169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 US HIGHWAY 9",
"city": "LANOKA HARBOR",
"state": "NJ",
"postal_code": "087342213",
"telephone_number": "609-242-2661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARANAL",
"first_name": "APOLLO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00590200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanoka Harbor, NJ
- New Jersey CVS Pharmacy LLC (CVS Pharmacy #02970)
- Jessica L O'Brien, NP
- Ocean County Healthcare LLC (Thompson Healthcare and Sports Medicine)
- Ezinne Oji
- Thankgod Okechukwu, LCADC
- Pathways to Serenity, LLC
- Alyssa Picone
- Pinnacle Treatment Centers NJ-I, LLC (Lacey Treatment Services)
- Pinnacle Treatment Centers NJ-I, LLC (Lacey Treatment Services)
- James M Quirk, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.