Individual provider Active NPI

Alexander L Budhi Jr., PT/DPT

  • Physical Therapist
  • Passaic, NJ
National Provider Identifier
1467289918
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02276500 Issued in NJ
Practice address
615 Main Ave
Passaic, NJ 07055-5066
Phone
(973) 473-5600
NPI assigned
Sep 18, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 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 40QA02276500 NJ Primary

Addresses

Primary practice location

615 Main Ave
Passaic, NJ 07055-5066

Mailing address

PO Box 1014
Clark, NJ 07066-1014
Phone (732) 855-9751

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009004531 NJ Practitioner - Physical Therapist in Private Practice 5092247486 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

681 W Edgar Rd
Suite 4a
Linden, NJ 07036-6574
Phone (908) 293-8273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02276500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Pro Staff Physical Therapy PC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

935 Allwood Rd
Fl First
Clifton, NJ 07012
Phone (973) 928-3590

2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065

681 W Edgar Rd
Ste 4A
Linden, NJ 07036
Phone (908) 293-8273

265 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-0500

615 Main Ave
Ste 2
Passaic, NJ 07055
Phone (973) 473-5600

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

Organizations & group practices 3

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": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1467289918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555066",
            "telephone_number": "973-473-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDHI",
        "first_name": "ALEXANDER",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "PT/DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02276500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.