Individual provider Active NPI

Peter Nicholas Ponzini, D.C.

  • Rehabilitation Chiropractor
  • Ho Ho Kus, NJ
National Provider Identifier
1588786305
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
38MC00619200 Issued in NJ
Practice address
197 E Franklin Tpke
Ho Ho Kus, NJ 07423-1553
Phone
(201) 447-0346
Fax
(201) 447-1582
NPI assigned
Apr 4, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 38MC00619200 NJ Primary

Addresses

Primary practice location

197 E Franklin Tpke
Ho Ho Kus, NJ 07423-1553

Mailing address

197 E Franklin Tpke
Ho Ho Kus, NJ 07423-1553
Phone (201) 447-0346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000253 NJ Practitioner - Chiropractic 7517957368 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00619200NJMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed PT LLC CurrentSince Dec 4, 2020 Accepting new patients
Spine and Sports Medicine of Hohokus, LLC CurrentSince Feb 9, 2004 Accepting new patients
Haledon Advanced Physical Therapy, LLC Past Accepting new patients
Sportsmed of Englewood PA PastSince Sep 8, 2016 Accepting new patients
Haledon Advanced Chiropractic LLC Rehabilitation Past Accepting new patients
Sportsmed of Paramus PA PastSince Dec 23, 2016 Accepting new patients
Spine and Sports Physical Therapy PastSince Feb 9, 2004 Accepting new patients

Locations

1233 Main Ave
Clifton, NJ 07011
Phone (973) 595-6444

784 Franklin Ave
Ste 230
Franklin Lks, NJ 07417
Phone (201) 891-0090

266 Harristown Rd
Ste 108
Glen Rock, NJ 07452

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5905

197 E Franklin Tpke
Ho Ho Kus, NJ 07423
Phone (201) 447-0346

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1588786305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 E FRANKLIN TPKE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231553",
            "telephone_number": "201-447-0346",
            "fax_number": "201-447-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 E FRANKLIN TPKE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231553",
            "telephone_number": "201-447-0346",
            "fax_number": "201-447-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONZINI",
        "first_name": "PETER",
        "middle_name": "NICHOLAS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00619200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ho Ho Kus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.