Active NPI
Andrew Justin Foo
- Physical Therapist
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01912900
- Practice address
- 605 Main St
Hackensack, NJ 07601-5914 - Phone
- (201) 488-0488
- Fax
- (201) 488-5787
- NPI assigned
- Feb 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01912900 | NJ | Primary |
Addresses
Primary practice location
605 Main St
Hackensack, NJ 07601-5914
Mailing address
605 Main St
Hackensack, NJ 07601-5914
Phone (201) 488-0488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
187 Columbia Tpke
Florham Park, NJ 07932-1313
Phone (540) 421-9249
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homestay P.C. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc | Physical Therapist | Current | Accepting new patients |
Locations
187 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 377-5655
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
103 Somerset St
Garfield, NJ 07026
Phone (646) 645-0582
454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905
555 S Livingston Ave
Livingston, NJ 07039
Phone (973) 974-9292
Organizations & group practices 4
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.
-
- Physical Therapist
- Hoboken, NJ
- NPI 1861623753
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1518599331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 MAIN ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076015914",
"telephone_number": "201-488-0488",
"fax_number": "201-488-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 MAIN ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076015914",
"telephone_number": "201-488-0488",
"fax_number": "201-488-5787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOO",
"first_name": "ANDREW",
"middle_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-10",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01912900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 10, 2020; 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.