Individual provider Active NPI

Benjamin Azriel Kalinkowitz, PT

  • Physical Therapist
  • Paramus, NJ
National Provider Identifier
1497936140
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01635300 Issued in NJ
Practice address
15 Essex Rd
Paramus, NJ 07652-1451
Phone
(201) 291-6000
NPI assigned
Nov 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 029801 NY
Physical Therapist 225100000X 40QA01635300 NJ Primary

Addresses

Primary practice location

15 Essex Rd
Paramus, NJ 07652-1451

Mailing address

174 Harding Rd
Glen Rock, NJ 07452-1717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109001222 NJ Practitioner - Physical Therapist in Private Practice 0345521738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23-00 Route 208
Suite 1 1
Fair Lawn, NJ 07410-1558
Phone (551) 245-8472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01635300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Step One Physical Therapy, LLC Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients
Kessler Institute for Rehabilitation, Inc. Past Accepting new patients
Kessler Institute for Rehabilitation Inc Past Accepting new patients

Locations

23-00 State Rt 208
Ste 1-1
Fair Lawn, NJ 07410
Phone (201) 797-5724

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1497936140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 HARDING RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ESSEX RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521451",
            "telephone_number": "201-291-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINKOWITZ",
        "first_name": "BENJAMIN",
        "middle_name": "AZRIEL",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-23",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029801",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01635300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.