Individual provider Active NPI

Thaddeus Zajac II, DPT

  • Orthopedic Physical Therapist
  • Wayne, NJ
National Provider Identifier
1659520070
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA00972000 Issued in NJ
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

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20090127000147 NJ Practitioner - Physical Therapist in Private Practice 3971667577 Reassigns benefits to 1 organization

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
North Jersey Spine Group LLCGroup PAC ID 5597859884, 24 clinicians

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 100Reported as group
Quality
93.63
Promoting interoperability
99
Improvement activities
40
Cost
69.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Spine Group LLC CurrentSince Nov 11, 2016 Accepting new patients
West Milford Physical Therapy Center, LLC Orthopedic PastSince Jan 1, 1999 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.