Individual provider Active NPI

Cornelius Asare, DPT

  • Physical Therapist
  • Clifton, NJ
National Provider Identifier
1669020871
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
61 Lakeview Ave
Clifton, NJ 07011-4041
Phone
(973) 772-8006
NPI assigned
Aug 30, 2019
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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 NJ Primary

Addresses

Primary practice location

61 Lakeview Ave
Clifton, NJ 07011-4041

Mailing address

3830 Park Ave
Ste 202
Edison, NJ 08820-2562

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200109001134 NJ Practitioner - Physical Therapist in Private Practice 7618302290 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Apr 4, 2024 Accepting new patients
Healing Hands Rehab Inc Physical Therapist CurrentSince Aug 21, 2020 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Apr 4, 2024 Accepting new patients
Best Care Medical Supply Co. Inc. PastSince Aug 21, 2020 Accepting new patients
Healing Hands Rehab Inc PastSince Aug 21, 2020 Accepting new patients

Locations

61 Lakeview Ave
Clifton, NJ 07011
Phone (973) 478-8300

1071 Inman Ave
Unit 4
Edison, NJ 08820
Phone (732) 518-8868

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

1111 US Highway 22
Mountainside, NJ 07092
Phone (908) 389-9100

1260 Centennial Ave
Piscataway, NJ 08854
Phone (732) 204-0678

1479 State Route 23
Ste 201
Wayne, NJ 07470
Phone (973) 686-0007

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1669020871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 PARK AVE",
            "address_2": "STE 202",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114041",
            "telephone_number": "973-772-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASARE",
        "first_name": "CORNELIUS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-30",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.