Denniss Adajar Magpantay, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

NJ40QA01415600 Issued in NJ

Practice address

11 S Williams St
Bergenfield, NJ 07621-2328

Phone

(201) 892-3629

NPI assigned

May 7, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1679707491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S WILLIAMS ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212328",
            "telephone_number": "201-892-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S WILLIAMS ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212328",
            "telephone_number": "201-892-3629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Van Buren Rd",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Caribou",
            "state": "ME",
            "postal_code": "047363567",
            "country_code": "US",
            "telephone_number": "207-498-1618 x1651",
            "fax_number": "207-498-1653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Cragmoor Ln",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122053601",
            "country_code": "US",
            "telephone_number": "347-972-8870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGPANTAY",
        "first_name": "DENNISS",
        "middle_name": "ADAJAR",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "NJ40QA01415600",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.