Wycoff-Nelson

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WYCOFF-NELSON

Doing business as

Fyzical Therapy and Balance Centers

Practice address

385 Clinton Ave
Wyckoff, NJ 07481-1934

Phone

(551) 277-1169

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Nelson Dunn

Title

Ceo

Phone

(917) 355-6851

Specialties & licenses 1

Addresses

Other names 1

• Fyzical Therapy and Balance Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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

• Mary Boulos, DPT

  • Physical Therapist
  • Pompton Plains, NJ
  • NPI 1639339245
  Medicare reassignment NPD
• Joseph Skaff

  • Physical Therapist
  • Rockville, MD
  • NPI 1992904312

  NJ

  Medicare reassignment NPD
• Thomas Vincent Dipaolo, DPT

  • Physical Therapist
  • Fanwood, NJ
  • NPI 1306251830
  NPD (past)

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1477245587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CLINTON AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811934",
            "telephone_number": "551-277-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 CLINTON AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811934",
            "telephone_number": "551-277-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCOFF-NELSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-355-6851"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wyckoff Dental Spa LLC
• Wyckoff Family YMCA
• Wyckoff Ophthalmology, LLC
• Wyckoff Ophthalmology,LLC
• Wyckoff Optical, Inc.
• Mondana Sepahi Yazdi, M.D., F.A.A.P.
• Edward F Younghans, DPM
• Rafik Youssef, M.D.
• Michelle Zaks, SPEECH PATHOLOGIST
• Henry Haifeng Zhou

• Physical Therapist in Wyckoff, NJ
• Providers in Wyckoff, 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 May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.