Central Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01647900 Issued in NJ

Legal business name

CENTRAL PHYSICAL THERAPY, LLC

Practice address

571 Central Ave
Ste# 106
New Providence, NJ 07974-1547

Phone

(516) 770-2055

NPI assigned

May 30, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irina Marcoff, D.P.T.NPI 1821112079

Title

Physical Therapist

Phone

(516) 770-2055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irina Marcoff, DPT

  • Physical Therapist
  • New Providence, NJ
  • NPI 1821112079
  Medicare reassignment Authorized official
• Svetlana Kozlova, NP

  • Nurse Practitioner
  • Gainesville, GA
  • NPI 1710528880
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649471442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 CENTRAL AVE",
            "address_2": "STE# 106",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741547",
            "telephone_number": "516-770-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 CENTRAL AVE",
            "address_2": "STE# 106",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741547",
            "telephone_number": "516-770-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARCOFF",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-770-2055",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01647900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Moglianesi, D.M.D. PC
• Caroline Gojcz Licsw LLC
• Carolyn Driscoll, Otr LLC
• Anthony R Cavazos, M.D.
• CC Physical Therapy and Wellness, LLC
• Lindsay Chaillet
• Yuchin Chang, DPT
• Kathleen Laura Chin, MD
• David Joseph Ciavarella, M.D.
• Eleonora Cielo, MA LPC BCIA C

• Physical Therapist in New Providence, NJ
• Providers in New Providence, 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 Jul 21, 2022; 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.