Cornelius Asare, DPT
Individual provider Active NPI Physical Therapist · Clifton, NJ
NPI 1669020871 · NPPES record last updated Feb 12, 2021
Key facts
- NPI
- 1669020871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 61 Lakeview Ave
Clifton, NJ 07011-4041 - Phone
- (973) 772-8006
- NPI assigned
- Aug 30, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200109001134 | NJ | Practitioner - Physical Therapist in Private Practice | 7618302290 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Network, Inc. | Physical Therapist | Current |
Accepting new patients |
| Ivyrehab Network Inc. | Physical Therapist | Current |
Accepting new patients |
| Healing Hands Rehab Inc | Physical Therapist | Current |
Accepting new patients |
| Best Care Medical Supply Co. Inc. | Past |
Accepting new patients | |
| Healing Hands Rehab Inc | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NJ | Yes |
Addresses
Primary practice location
61 Lakeview Ave
Clifton, NJ 07011-4041
Mailing address
3830 Park Ave
Ste 202
Edison, NJ 08820-2562
Other providers in Clifton, NJ
- Sumeet Arora
- Daniela F Arriagada
- Amanda F. Arroyo
- Daniel Arthur
- Fulesie Gray Artis
- Ascend ABA
- Aisha Jawad Assaf
- Ranya Aref Assaf
- Assist Medical Service Inc
- Associated Eye Physicians, P.a.
All providers in Clifton, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.