Jerome G. Lesaca, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00191200 Issued in NJ

Practice address

120 Charlotte PL
Englewood Cliffs, NJ 07632-2615

Phone

(201) 446-6440

NPI assigned

Sep 10, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanedge Hand and Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Englewood Cliffs, NJ
  • NPI 1467798009
  NPD (past) Authorized official

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1619200540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 IDAHO ST",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525617",
            "telephone_number": "201-446-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHARLOTTE PL",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322615",
            "telephone_number": "201-446-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESACA",
        "first_name": "JEROME",
        "middle_name": "G.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00191200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Lee, M.D.
• Mark C Lee, D.D.S.
• Terrance Lee, M.D.
• Yun Ju Lee
• Caela Lenhardt, PA-C
• Link Home Services of NJ LLC
• Link Home Services of PA LLC
• Link Wellness of NJ LLC
• Amanda M Livsey, PA-C, ATC, MSA
• Ryan Lopiccolo, PA-C

• Physical Therapy Assistant in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.