Wyckoff Physical Therapy Center, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00499000 Issued in NJ

Legal business name

WYCKOFF PHYSICAL THERAPY CENTER, PC

Practice address

860 Wyckoff Ave
A1A
Mahwah, NJ 07430-3186

Phone

(201) 891-9008

Fax

(201) 891-9195

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Stephen Newman, LPTNPI 1326246463

Title

President

Phone

(201) 891-9008

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stephen Newman, LPT

  • Physical Therapy Clinic/Center
  • Mahwah, NJ
  • NPI 1326246463
  NPD (past) Authorized official

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1508064627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 WYCKOFF AVE",
            "address_2": "A1A",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303186",
            "telephone_number": "201-891-9008",
            "fax_number": "201-891-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 WYCKOFF AVE",
            "address_2": "A1A",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303186",
            "telephone_number": "201-891-9008",
            "fax_number": "201-891-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF PHYSICAL THERAPY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-891-9008",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00499000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Gemma Williams, FNP
• Mara Elizabeth Wilson, MSW,LCSW,MED.
• Lisa Winington II
• Zachary Allen Wolff, DC
• Worksite Wellness Nutrition
• Ritchey Yeung
• Young Adult Institute, Inc.
• Alan S Zwillinger, DDS

• Physical Therapy Clinic/Center in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.