Organization Active NPI

Clifton Theraphy and Sports Injury

  • Physical Therapist
  • Clifton, NJ
National Provider Identifier
1477808921
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01007300 Issued in NJ
Legal business name
CLIFTON THERAPHY AND SPORTS INJURY
Practice address
1555 Main Ave
Clifton, NJ 07011-2109
Phone
(973) 894-3622
Fax
(973) 894-3625
NPI assigned
Jul 20, 2012
Last updated
Aug 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Mr. Aldou CincoNPI 1699850123
Title
Owner
Phone
(973) 894-3622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01007300 NJ Primary

Addresses

Primary practice location

1555 Main Ave
Clifton, NJ 07011-2109

Mailing address

1555 Main Ave
Clifton, NJ 07011-2109
Phone (973) 894-3622

National Provider Directory

National Provider Directory

Locations

1555 Main Ave
Clifton, NJ 07011
Phone (973) 894-3622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1477808921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112109",
            "telephone_number": "973-894-3622",
            "fax_number": "973-894-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112109",
            "telephone_number": "973-894-3622",
            "fax_number": "973-894-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON THERAPHY AND SPORTS INJURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "CINCO",
        "authorized_official_first_name": "ALDOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-894-3622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01007300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.