Active NPI
Raynold Saintval, MS PT
- Physical Therapist
- Lyndhurst, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1050 Wall St W
Suite 200
Lyndhurst, NJ 07071-3621 - Phone
- (201) 531-2511
- NPI assigned
- Aug 22, 2007
- Last updated
- Aug 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NJ | Primary |
Addresses
Primary practice location
1050 Wall St W
Suite 200
Lyndhurst, NJ 07071-3621
Mailing address
3143 98TH St
East Elmhurst, NY 11369-1824
Phone (347) 840-2352
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40QA12506000 | Other | NJ | PT LICENSED |
| 021575 | Other | NY | PT LICENSED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090928000428 | NJ | Practitioner - Physical Therapist in Private Practice | 9638225931 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Howard University College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 NJ -
Suite 70
Lakewood, NJ 08701-5288
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA1250600 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home by Enhance Therapies LLC | Physical Therapist | Current | Accepting new patients |
| Carteret Comprehensive Medical Care,PC | Past | Accepting new patients |
Locations
411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833
400 Route 70
Lakewood, NJ 08701
Phone (609) 805-1686
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.
-
- Physical Therapist
- Lakewood, NJ
- NPI 1124603246
-
dba Edison Comprehensive Medical Care
- Specialist
- Edison, NJ
- NPI 1528140563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1639362791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3143 98TH ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113691824",
"telephone_number": "347-840-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 WALL ST W",
"address_2": "SUITE 200",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070713621",
"telephone_number": "201-531-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAINTVAL",
"first_name": "RAYNOLD",
"name_prefix": "Mr.",
"credential": "MS PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSED",
"identifier": "40QA12506000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSED",
"identifier": "021575",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lyndhurst, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.