Vanguard Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VANGUARD PHYSICAL THERAPY

Practice address

113 W Essex St
Suite 203
Maywood, NJ 07607-1020

Phone

(201) 845-6030

Fax

(201) 845-6040

NPI assigned

Mar 10, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michael C Implicito

Title

Owner

Phone

(201) 845-6030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1568855948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W ESSEX ST",
            "address_2": "SUITE 203",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071020",
            "telephone_number": "201-845-6030",
            "fax_number": "201-845-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W ESSEX ST",
            "address_2": "SUITE 203",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071020",
            "telephone_number": "201-845-6030",
            "fax_number": "201-845-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "IMPLICITO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-845-6030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care Inc
• Jaimie Marie Trematore, M.ED, LDTC, BCBA
• Use Your Words Therapeutic Services LLC
• Yvu Van
• Vanguard ASC, LLC
• Vanguard Surgical Center, LLC.
• Julio Eduardo Vega, MD
• Vencer Care, LLC
• Vencer Care, LLC
• Karen Denisse Vera, PA-C

• Physical Therapy Clinic/Center in Maywood, NJ
• Providers in Maywood, 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 Mar 10, 2015; 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.