Magdalena Wozniak, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01924700 Issued in NJ

Practice address

1633 US Highway 22
Watchung, NJ 07069-6588

Phone

(908) 754-3663

Fax

(908) 754-3502

NPI assigned

Feb 23, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1619501277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 JUPITOR ST",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070663018",
            "telephone_number": "732-850-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 US HIGHWAY 22",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696588",
            "telephone_number": "908-754-3663",
            "fax_number": "908-754-3502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Main St Ste 505",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077243903",
            "country_code": "US",
            "telephone_number": "732-493-3100",
            "fax_number": "732-876-4967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOZNIAK",
        "first_name": "MAGDALENA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01924700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Watchung, NJ
• Providers in Watchung, 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 1, 2020; 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.