Individual provider Active NPI

Favorite M Garfinkel

  • Physical Therapist
  • Hackensack, NJ
National Provider Identifier
1518528264
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01087500 Issued in NJ
Practice address
219 Charles St Apt 3
Hackensack, NJ 07601-3151
Phone
(973) 444-0879
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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 40QA01087500 NJ Primary

Addresses

Primary practice location

219 Charles St Apt 3
Hackensack, NJ 07601-3151

Mailing address

219 Charles St Apt 3
Hackensack, NJ 07601-3151
Phone (973) 444-0879

Other identifiers 1

IdentifierTypeStateIssuer
40QA01087500OtherNJ40QA01087900

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL None Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QA01087500NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1518528264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CHARLES ST APT 3",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013151",
            "telephone_number": "973-444-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 CHARLES ST APT 3",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013151",
            "telephone_number": "973-444-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARFINKEL",
        "first_name": "FAVORITE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01087500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "40QA01087900",
            "identifier": "40QA01087500",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Therapist",
            "address_1": "219 Charles St Apt 3",
            "city": "Hackensack",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076013151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.