Individual provider Active NPI

Monika Lewczuk, PT

  • Physical Therapist
  • Manalapan, NJ
National Provider Identifier
1629178934
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QAO11O5000 Issued in NJ
Practice address
100 Craig Rd Ste 206
Manalapan, NJ 07726-8731
Phone
(732) 303-1425
NPI assigned
Sep 25, 2006
Last updated
Jun 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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 40QAO11O5000 NJ Primary

Addresses

Primary practice location

100 Craig Rd Ste 206
Manalapan, NJ 07726-8731

Mailing address

26 Van Tines LN
Old Bridge, NJ 08857-3901
Phone (732) 910-8874

Other identifiers 1

IdentifierTypeStateIssuer
P3254671OtherNHORTHONET PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QAO11O5000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Spine & Wellness L L C Physical Therapist PastSince Mar 24, 1997 Accepting new patients
Center for Physical Therapy & Spinal Wellness, P.C. Physical Therapist Past Accepting new patients
Take Charge Rehab & Wellness, PC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1629178934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 VAN TINES LN",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573901",
            "telephone_number": "732-910-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CRAIG RD STE 206",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268731",
            "telephone_number": "732-303-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWCZUK",
        "first_name": "MONIKA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QAO11O5000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET PROVIDER ID",
            "identifier": "P3254671",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.