Individual provider Active NPI

Bogdan Ionescu

  • Physical Therapist
  • Little Falls, NJ
National Provider Identifier
1487030243
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00657000 Issued in NJ
Practice address
188 Newark Pompton Tpke
Unit 1
Little Falls, NJ 07424-1112
Phone
(877) 887-3574
Fax
(862) 279-7580
NPI assigned
Aug 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00657000 NJ Primary

Addresses

Primary practice location

188 Newark Pompton Tpke
Unit 1
Little Falls, NJ 07424-1112

Mailing address

188 Newark Pompton Tpke
Unit 1
Little Falls, NJ 07424-1112
Phone (877) 887-3574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1487030243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 NEWARK POMPTON TPKE",
            "address_2": "UNIT 1",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241112",
            "telephone_number": "877-887-3574",
            "fax_number": "862-279-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 NEWARK POMPTON TPKE",
            "address_2": "UNIT 1",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241112",
            "telephone_number": "877-887-3574",
            "fax_number": "862-279-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IONESCU",
        "first_name": "BOGDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00657000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.