Advanedge Hand and Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ADVANEDGE HAND AND PHYSICAL THERAPY, LLC

Practice address

120 Charlotte PL
Englewood Cliffs, NJ 07632-2615

Phone

(201) 408-5448

Fax

(201) 408-5467

NPI assigned

Jan 1, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Jerome G. LesacaNPI 1619200540

Title

Co-Owner

Phone

(201) 446-6440

Specialties & licenses 3

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerome G. Lesaca, PTA

  • Physical Therapy Assistant
  • Englewood Cliffs, NJ
  • NPI 1619200540
  NPD (past) Authorized official
• Derek J Cunningham, OT/R

  • Occupational Therapist
  • Englewood Cliffs, NJ
  • NPI 1609118611
  NPD (past)

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

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1467798009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHARLOTTE PL",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322615",
            "telephone_number": "201-408-5448",
            "fax_number": "201-408-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHARLOTTE PL",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322615",
            "telephone_number": "201-408-5448",
            "fax_number": "201-408-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANEDGE HAND AND PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-01",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "LESACA",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "201-446-6440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.