Individual provider Active NPI

Antonio Gerard Sapienza, PT, DPT

  • Physical Therapist
  • Fort Lee, NJ
National Provider Identifier
1659921328
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01887500 Issued in NJ
Practice address
1355 15TH St
Fort Lee, NJ 07024-2039
Phone
(201) 224-8717
Fax
(201) 224-6381
NPI assigned
Sep 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01887500 NJ Primary

Addresses

Primary practice location

1355 15TH St
Fort Lee, NJ 07024-2039

Mailing address

1355 15TH St
Fort Lee, NJ 07024-2039
Phone (201) 224-8717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191010000442 NJ Practitioner - Physical Therapist in Private Practice 7012248776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

1057 Commerce Ave
Union, NJ 07083-5025
Phone (908) 688-1991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01887500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc Physical Therapist CurrentSince May 22, 2023 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince May 22, 2023 Accepting new patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients

Locations

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

555 S Livingston Ave
Livingston, NJ 07039
Phone (973) 974-9292

1057 Commerce Ave
Union, NJ 07083
Phone (866) 467-1770

Organizations & group practices 3

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1659921328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 15TH ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242039",
            "telephone_number": "201-224-8717",
            "fax_number": "201-224-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 15TH ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242039",
            "telephone_number": "201-224-8717",
            "fax_number": "201-224-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPIENZA",
        "first_name": "ANTONIO",
        "middle_name": "GERARD",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01887500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.