Individual provider Active NPI

Andrew Gurovich, PT, DPT

  • Physical Therapist
  • Hackensack, NJ
National Provider Identifier
1457822579
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01829900 Issued in NJ
Practice address
100 Commerce Way Ste C
Hackensack, NJ 07601-6307
Phone
(551) 245-7445
NPI assigned
Dec 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01829900 NJ Primary

Addresses

Primary practice location

100 Commerce Way Ste C
Hackensack, NJ 07601-6307

Mailing address

276 Beechwood Rd
Oradell, NJ 07649-1808
Phone (201) 396-1708

Other practice location 1

784 Franklin Ave
Franklin Lakes, NJ 07417-1306
Phone (201) 891-0090

Other practice location 2

442 Union Blvd
Totowa, NJ 07512-2562
Phone (973) 942-0220

Other practice location 3

10-14 Saddle River Rd
Fair Lawn, NJ 07410-5728
Phone (201) 371-6592

Other practice location 4

28-32 Van Orden Pl
Hackensack, NJ 07601-6011
Phone (201) 621-0300

Other practice location 5

330 Franklin Tpke
Mahwah, NJ 07430-3524
Phone (201) 684-1444

Other practice location 6

524 Hamburg Tpke
Wayne, NJ 07470-2036
Phone (973) 272-0030

Other practice location 7

24 Booker St
Westwood, NJ 07675-2632
Phone (201) 722-1227

Other practice location 8

155 N Dean St
Englewood, NJ 07631-2532
Phone (201) 894-5775

Other practice location 9

211 Berdan Ave
Wayne, NJ 07470-3236
Phone (201) 689-4401

Other practice location 10

90 Lincoln Ave
Hawthorne, NJ 07506-1436
Phone (973) 304-0430

Other practice location 11

315 Cedar Ln
Teaneck, NJ 07666-3442
Phone (201) 836-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190404000071 NJ Practitioner - Physical Therapist in Private Practice 0749521532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Commerce Way
Suite C
Hackensack, NJ 07601-6307
Phone (201) 300-4447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Physical Therapy, Inc Physical Therapist CurrentSince Jul 22, 2019 Accepting new patients
Body Shop Physical Therapy and Wellness LLC Physical Therapist CurrentSince Oct 26, 2024 Accepting new patients

Locations

10-14 Saddle River Rd
Fl 1
Fair Lawn, NJ 07410
Phone (201) 468-0282

100 Commerce Way
Ste C
Hackensack, NJ 07601
Phone (201) 300-4447

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1457822579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 BEECHWOOD RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491808",
            "telephone_number": "201-396-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMERCE WAY STE C",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016307",
            "telephone_number": "551-245-7445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "784 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Franklin Lakes",
            "state": "NJ",
            "postal_code": "074171306",
            "country_code": "US",
            "telephone_number": "201-891-0090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "442 Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Totowa",
            "state": "NJ",
            "postal_code": "075122562",
            "country_code": "US",
            "telephone_number": "973-942-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10-14 Saddle River Rd",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074105728",
            "country_code": "US",
            "telephone_number": "201-371-6592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28-32 Van Orden Pl",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076016011",
            "country_code": "US",
            "telephone_number": "201-621-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Franklin Tpke",
            "address_purpose": "LOCATION",
            "city": "Mahwah",
            "state": "NJ",
            "postal_code": "074303524",
            "country_code": "US",
            "telephone_number": "201-684-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "524 Hamburg Tpke",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074702036",
            "country_code": "US",
            "telephone_number": "973-272-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Booker St",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "NJ",
            "postal_code": "076752632",
            "country_code": "US",
            "telephone_number": "201-722-1227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 N Dean St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076312532",
            "country_code": "US",
            "telephone_number": "201-894-5775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Berdan Ave",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074703236",
            "country_code": "US",
            "telephone_number": "201-689-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NJ",
            "postal_code": "075061436",
            "country_code": "US",
            "telephone_number": "973-304-0430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Cedar Ln",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076663442",
            "country_code": "US",
            "telephone_number": "201-836-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUROVICH",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01829900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.

Verify at the official NPI Registry.