Active NPI
Thaddeus Zajac II, DPT
- Orthopedic Physical Therapist
- Wayne, NJ
National Provider Identifier
1659520070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 40QA00972000
- Practice address
- 1680 Route 23 Ste 250
Wayne, NJ 07470-7520 - Phone
- (973) 633-1122
- Fax
- (973) 832-7550
- NPI assigned
- Sep 9, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 40QA00972000 | NJ | Primary |
Addresses
Primary practice location
1680 Route 23 Ste 250
Wayne, NJ 07470-7520
Mailing address
1680 Route 23 Ste 250
Wayne, NJ 07470-7520
Phone (973) 633-1122
Other practice location 1
401 Hamburg Tpke
Suite 105
Wayne, NJ 07470-2154
Phone (973) 595-6066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1680 Route 23
Suite 250
Wayne, NJ 07470-7520
Phone (201) 445-9327
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.72 of 100
- Quality
- 93.63
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 69.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Jersey Spine Group LLC | Current | Accepting new patients | |
| West Milford Physical Therapy Center, LLC | Orthopedic | Past | Accepting new patients |
Locations
205 Robin Rd
Ste 230
Paramus, NJ 07652
1680 State Route 23
Ste 250
Wayne, NJ 07470
Phone (201) 445-9327
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBIDAD
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 and National Provider Directory roles.
-
- Neurological Surgery Physician
- Wayne, NJ
- NPI 1841375300
-
- Occupational Therapist
- West Milford, NJ
- NPI 1831102888
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1659520070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 ROUTE 23 STE 250",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707520",
"telephone_number": "973-633-1122",
"fax_number": "973-832-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 ROUTE 23 STE 250",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707520",
"telephone_number": "973-633-1122",
"fax_number": "973-832-7550"
}
],
"practiceLocations": [
{
"address_1": "401 Hamburg Tpke",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Wayne",
"state": "NJ",
"postal_code": "074702154",
"country_code": "US",
"telephone_number": "973-595-6066",
"fax_number": "973-595-1127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAJAC",
"first_name": "THADDEUS",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-09",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA00972000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.