Jorge Mandanas Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00655700 Issued in NJ

Practice address

179-9 Route 46 West
#313
Rockaway, NJ 07866

Phone

(973) 586-4800

Fax

(973) 586-3559

NPI assigned

Aug 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Better Medical Group LLC

  dba Precision Care PT

  • Physical Therapist
  • Rockaway, NJ
  • NPI 1265592760
  NPD (past) Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467462044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 US HIGHWAY 46 STE 9",
            "address_2": "#313",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078664046",
            "telephone_number": "973-586-4800",
            "fax_number": "973-586-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179-9 ROUTE 46 WEST",
            "address_2": "#313",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "07866",
            "telephone_number": "973-586-4800",
            "fax_number": "973-586-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDANAS",
        "first_name": "JORGE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00655700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Lyden, APN
• Tara K Maher, LCSW
• Beena G. Mahtani, DNP
• Mark K Majewski, LSW, MSW
• Amy Perry Malatesta, LPC
• Gregory Marcano Jr.
• Maria Falzo
• Taner Aydin Marquez, RPH
• Ninette V Martinez
• Alicia Mastrangelo

• Physical Therapist in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• Physical Therapist in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.