Teaneck Orthopaedic Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QAO1144000 Issued in NJ

Legal business name

TEANECK ORTHOPAEDIC PHYSICAL THERAPY

Practice address

1182 Teaneck Rd
Ste 101
Teaneck, NJ 07666-4824

Phone

(201) 357-5421

Fax

(201) 357-5422

NPI assigned

Jun 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Martin Samillano Malaluan III, DPTNPI 1427003250

Title

Owner/Practitioner

Phone

(201) 357-5421

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Martin Samillano Malaluan III, RPT

  • Physical Therapist
  • Paramus, NJ
  • NPI 1427003250
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1629429642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 TEANECK RD",
            "address_2": "STE 101",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664824",
            "telephone_number": "201-357-5421",
            "fax_number": "201-357-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 TEANECK RD",
            "address_2": "STE 101",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664824",
            "telephone_number": "201-357-5421",
            "fax_number": "201-357-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEANECK ORTHOPAEDIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "MALALUAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "SAMILLANO",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "201-357-5421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QAO1144000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Teaneck Speech and Language Center

• Physical Therapy Clinic/Center in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.