Individual provider Active NPI

Joseph Thomas Nazzari

  • Physical Therapist
  • East Hanover, NJ
National Provider Identifier
1467542456
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA06098 Issued in NJ
Practice address
11 Eagle Rock Ave
2ND Floor
East Hanover, NJ 07936-3101
Phone
(973) 887-9000
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA06098 NJ Primary
Physical Therapist 225100000X 016862-1 NY

Addresses

Primary practice location

11 Eagle Rock Ave
2ND Floor
East Hanover, NJ 07936-3101

Mailing address

11 Eagle Rock Ave 2ND
East Hanover, NJ 07936-3167
Phone (973) 887-9000

Other identifiers 3

IdentifierTypeStateIssuer
NL7012OtherNJHEALTHNET
1163433OtherNJUNITED HEALTHCARE
P811353OtherNJOXFORD NJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060316000521 NY Practitioner - Physical Therapist in Private Practice 1355326687 Reassigns benefits to 1 organization
I20070511000336 NJ Practitioner - Physical Therapist in Private Practice 1355326687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportscare Physical Therapy of Ny, P.C.Group PAC ID 8123102092, 19 clinicians

Practice addresses (Care Compare)

2 Perlman Dr
Spring Valley, NY 10977-5245
Phone (845) 371-2032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA06098NJMDPhysical Therapist
016862-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare Physical Therapy of Ny, P.C. Physical Therapist CurrentSince Apr 21, 1997 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Jan 10, 2007 Accepting new patients
Sportscare Institute, Inc. Physical Therapist CurrentSince Apr 1, 1997 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Center for Advanced Sports Medicine, Knee and Shoulder, LLC Past Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

42 Brick Blvd
Brick, NJ 08723
Phone (732) 255-9500

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115

11 Eagle Rock Ave
Fl 2
East Hanover, NJ 07936
Phone (973) 887-3000

11 Eagle Rock Ave
Ste 103
East Hanover, NJ 07936
Phone (973) 887-0115

2 Changebridge Rd
Montville, NJ 07045
Phone (732) 805-9005

1 W Ridgewood Ave
Ste 104
Paramus, NJ 07652
Phone (201) 652-1415

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

530 Lakehurst Rd
Ste 202204
Toms River, NJ 08755
Phone (732) 349-1201

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

63 Lacey Rd
Ste H
Whiting, NJ 08759
Phone (732) 716-0111

2 Perlman Dr
Spring Valley, NY 10977
Phone (845) 371-2032

2 Crosfield Ave
Ste 101
West Nyack, NY 10994
Phone (845) 358-8989

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14248/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1467542456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE 2ND",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "address_2": "2ND FLOOR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363101",
            "telephone_number": "973-887-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZZARI",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA06098",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016862-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "NL7012",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1163433",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD NJ",
            "identifier": "P811353",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.