Individual provider Active NPI

Antonious Farhat Aboseff, DPT

  • Physical Therapist
  • Edison, NJ
National Provider Identifier
1619426152
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01675600 Issued in NJ
Practice address
81 Pleasant Ave
Edison, NJ 08837-2667
Phone
(201) 602-3226
NPI assigned
Sep 26, 2016
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01675600 NJ Primary

Addresses

Primary practice location

81 Pleasant Ave
Edison, NJ 08837-2667

Mailing address

81 Pleasant Ave
Edison, NJ 08837-2667
Phone (201) 602-3226

Other practice location 1

900 Easton Ave Ste 22
Somerset, NJ 08873-1760
Phone (732) 846-9400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021000331 NJ Practitioner - Physical Therapist in Private Practice 2466730726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

152 Central Ave
Suite 4
Clark, NJ 07066-1115
Phone (201) 602-3226

81 Pleasant Ave
Edison, NJ 08837-2667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient RX Physical Therapy Physical Therapist CurrentSince Nov 5, 2020 Accepting new patients
Paramus Orthopedic Physical Therapy PastSince Sep 26, 2016 Accepting new patients

Organizations & group practices 2

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1619426152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 PLEASANT AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372667",
            "telephone_number": "201-602-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 PLEASANT AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372667",
            "telephone_number": "201-602-3226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Easton Ave Ste 22",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "NJ",
            "postal_code": "088731760",
            "country_code": "US",
            "telephone_number": "732-846-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOSEFF",
        "first_name": "ANTONIOUS",
        "middle_name": "FARHAT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-26",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01675600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.