NPIMap

Organization Active NPI

Riverwalk Physical Therapy Bernardsville LLC

  • Physical Therapist
  • Bernardsville, NJ
National Provider Identifier
1538945472
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RIVERWALK PHYSICAL THERAPY BERNARDSVILLE LLC
Practice address
4 Essex Ave Ste 104
Bernardsville, NJ 07924-2265
Phone
(917) 757-9772
NPI assigned
Sep 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Phil Pesce
Title
Authorized Official
Phone
(917) 757-9772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4 Essex Ave Ste 104
Bernardsville, NJ 07924-2265

Mailing address

4 Essex Ave Ste 104
Bernardsville, NJ 07924-2265

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231120003281 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587012182 Receives reassigned benefits from 7 practitioners
Practice locations: Bernardsville, NJ

National Provider Directory

National Provider Directory

Locations

20 Claremont Rd
Bernardsville, NJ 07924

4 Essex Ave
Ste 104
Bernardsville, NJ 07924
Phone (917) 757-9772

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1538945472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ESSEX AVE STE 104",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ESSEX AVE STE 104",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242265",
            "telephone_number": "917-757-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK PHYSICAL THERAPY BERNARDSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "PESCE",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "917-757-9772"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernardsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.