Russell L Sadang, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01528800 Issued in NJ

Practice address

103 Carnation St
Bergenfield, NJ 07621

Phone

(201) 895-4963

NPI assigned

Mar 25, 2014

Sex

Male

Sole proprietor

No

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

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

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mobilized Physical Therapy Corporation

  • Physical Therapist
  • Oakland, CA
  • NPI 1760100168

  NJ

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1619394954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 VIRDEN AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191537",
            "telephone_number": "201-895-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CARNATION ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "07621",
            "telephone_number": "201-895-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADANG",
        "first_name": "RUSSELL",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01528800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Brooke Rosenbloom, LCSW
• Rebecca Rosenthal
• Brennan M Ross, PA-C
• Mary Grace Ruiz
• Raleigh Sadang, DPT
• Genelyn Mae Pinera Sadol, PT
• Michael Sadol, PT, DPT
• Amalia G. Saeed, R.N.
• Nadege Saint-Bess
• Julie Michelle Salas, PT

• Physical Therapist in Bergenfield, NJ
• Providers in Bergenfield, 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 Mar 15, 2019; 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.