Individual provider Active NPI

Aung Myat Min

  • Physical Therapist
  • Mountain Lakes, NJ
National Provider Identifier
1467832295
Registry record updated Oct 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01609600 Issued in NJ
Practice address
50 Route 46 E
Mountain Lakes, NJ 07046-1623
Phone
(973) 402-1600
Fax
(973) 402-1770
NPI assigned
Jun 7, 2015
Last updated
Oct 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2016

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 040882 NY
Physical Therapist 225100000X 40QA01609600 NJ Primary

Addresses

Primary practice location

50 Route 46 E
Mountain Lakes, NJ 07046-1623

Mailing address

11 Eagle Rock Ave
East Hanover, NJ 07936-3167
Phone (973) 929-3351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623000018 NJ Practitioner - Physical Therapist in Private Practice 1759692452 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportscare of America, PCGroup PAC ID 9032213756, 132 clinicians
United Sports Care and Physical TherapyGroup PAC ID 9436324886, 41 clinicians

Practice addresses (Care Compare)

136 Littleton Rd
Morris Plains, NJ 07950-2519
Phone (646) 709-4169

50 US Hwy 46
Mountain Lakes, NJ 07046-1623
Phone (973) 402-1600

609 Morris Ave
Suite 2
Springfield, NJ 07081-1511
Phone (973) 671-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040882NYMDPharmacist
40QA01609600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare of America, PC Physical Therapist CurrentSince Jun 12, 2015 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince May 1, 2016 Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients

Locations

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

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

50 US Highway 46 E
Mountain Lakes, NJ 07046
Phone (973) 402-1600

609 Morris Ave
Ste 2
Springfield, NJ 07081
Phone (973) 671-3200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475971200000",
    "number": "1467832295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-929-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROUTE 46 E",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461623",
            "telephone_number": "973-402-1600",
            "fax_number": "973-402-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "AUNG",
        "middle_name": "MYAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-07",
        "last_updated": "2016-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040882",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01609600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2016; 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.