Stephanie Ingrid B Gumban, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01758700 Issued in NJ

Practice address

201 Lower Notch Rd # A3
Little Falls, NJ 07424-1802

Phone

(973) 837-6600

NPI assigned

Oct 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bergen Medical Sports and Spine, Inc.Group PAC ID 8022203033, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Bergen Medical Sports & Spine, Inc.

  • Sports Medicine (Family Medicine) Physician
  • Paramus, NJ
  • NPI 1962722595
  Medicare reassignment Care Compare group NPD
• Peak Motion Physical Therapy, PA

  • Physical Therapy Clinic/Center
  • Haledon, NJ
  • NPI 1114342938
  NPD (past)

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1609387000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LOWER NOTCH RD # A3",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241802",
            "telephone_number": "973-837-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LOWER NOTCH RD # A3",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241802",
            "telephone_number": "973-837-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Sears Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076523510",
            "country_code": "US",
            "telephone_number": "201-261-5220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUMBAN",
        "first_name": "STEPHANIE INGRID",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NJ",
            "license": "40QA01758700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01758700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609387000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Irene Goggins, CHHA, RBT
• Linda Brusseau Goldenberg, APRN
• Devora Goldman
• Shannon Greenwald, PT, DPT
• Guiding Hands Guardianship Services
• Sandra Gutierrez, LMT
• Julia Habib
• Evan Wilder Harris, BCBA
• Health Cloud Diagnostics
• Hemsey Chiropractic Center

• Physical Therapist in Little Falls, NJ
• Providers in Little Falls, 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 Jun 16, 2018; 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.