Adam Busch
Individual provider Active NPI Physical Therapist · Wayne, NJ
NPI 1457051583 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1457051583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 502 Valley Road, Suite 105, Wayne, NJ 07470
Wayne, NJ 07470 - Phone
- (973) 832-7921
- NPI assigned
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Network Inc
Practice addresses (Care Compare)
3 Post Rd
Oakland, NJ 07436-1609
Phone (201) 651-0121
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230322000767 | NJ | Practitioner - Physical Therapist in Private Practice | 6901270586 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Network Inc. | Physical Therapist | Current |
Accepting new patients |
| Jag-One Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Ivyrehab Network, Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905
2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065
3 Post Rd
Oakland, NJ 07436
Phone (201) 651-0121
221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520
502 Valley Rd
Ste 105
Wayne, NJ 07470
Phone (973) 832-7921
622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
502 Valley Road, Suite 105, Wayne, NJ 07470
Wayne, NJ 07470
Mailing address
981 US Highway 22
Bridgewater, NJ 08807-2946
Phone (201) 801-7141
Other providers in Wayne, NJ
- Michaela Bukoski
- Olufunke Buraimoh
- Cindy Ann Burns
- Les A Burns
- Alan Mark Burton
- Marissa L Bush
- Tracey L Byrne
- Socorro Caballery-Smith
- Onely Cabrera
- Luisa Cacciaguida
All providers in Wayne, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.