Annette Bonczek, B.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00696500 Issued in NJ

Practice address

2300 New Rd
Northfield, NJ 08225-1466

Phone

(609) 204-4849

Fax

(609) 383-8340

NPI assigned

Sep 2, 2010

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Fitness, LLCGroup PAC ID 4385878362, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spectrum Fitness, LLC

  • Specialist
  • Northfield, NJ
  • NPI 1053750588

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Holistic Approach Physiotherapy Intervention, LLC

  • Physical Therapist
  • Northfield, NJ
  • NPI 1588443360
  NPD

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1578870143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251466",
            "telephone_number": "609-204-4849",
            "fax_number": "609-383-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251466",
            "telephone_number": "609-204-4849",
            "fax_number": "609-383-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONCZEK",
        "first_name": "ANNETTE",
        "credential": "B.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00696500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "40QA00696500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard S Birnbaum, DMD
• David L Blecker, MD
• Jennifer Beth Bloch, DMD
• Mercedes Blood, LPC
• Caryl Lynn Bochniak, APN
• Jessica Bonner, APN
• Julia Lee Bornmann, APN
• Brian Bovio
• Boylan Counseling Services, LLC
• Kathleen Bradbury-Golas, DNP, APN, C

• Physical Therapist in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.

Verify at the official NPI Registry.