Organization Active NPI

Bergenfield Physical Therapy and Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Bloomfield, NJ
National Provider Identifier
1629136288
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01065200 Issued in NJ
Legal business name
BERGENFIELD PHYSICAL THERAPY AND REHABILITATION, INC
Practice address
135 Bloomfield Ave
Suite C
Bloomfield, NJ 07003-5902
Phone
(973) 429-0045
Fax
(973) 429-8161
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Luningning Tuazon Lozada, PTNPI 1033320874
Title
PT
Phone
(973) 979-5283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01065200 NJ Primary

Addresses

Primary practice location

135 Bloomfield Ave
Suite C
Bloomfield, NJ 07003-5902

Mailing address

135 Bloomfield Ave
Suite C
Bloomfield, NJ 07003-5902
Phone (973) 429-0045

Other identifiers 2

IdentifierTypeStateIssuer
064850SGLOtherNJJOSE ANMOSEL LOZADA, PT
076474SGLOtherNJLUNINGNING LOZADA, PT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406000437 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991798977 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Bergenfield, NJ; Bloomfield, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bergenfield Physical Therapy and Pain Management Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

108 S Washington Ave
Ste B
Bergenfield, NJ 07621
Phone (201) 384-0200

135 Bloomfield Ave
Ste 2
Bloomfield, NJ 07003
Phone (973) 429-0045

135 Bloomfield Ave
Ste C
Bloomfield, NJ 07003
Phone (973) 429-0045

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629136288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BLOOMFIELD AVE",
            "address_2": "SUITE C",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035902",
            "telephone_number": "973-429-0045",
            "fax_number": "973-429-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BLOOMFIELD AVE",
            "address_2": "SUITE C",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035902",
            "telephone_number": "973-429-0045",
            "fax_number": "973-429-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGENFIELD PHYSICAL THERAPY AND REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOZADA",
        "authorized_official_first_name": "LUNINGNING",
        "authorized_official_middle_name": "TUAZON",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "973-979-5283",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01065200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOSE ANMOSEL LOZADA, PT",
            "identifier": "064850SGL",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUNINGNING LOZADA, PT",
            "identifier": "076474SGL",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.