Michael John Marcano

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01934000 Issued in NJ

Practice address

301 Bridge PLZ N
Fort Lee, NJ 07024-5059

Phone

(201) 585-7300

NPI assigned

Jul 29, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Lee Physical Therapy PCGroup PAC ID 4880747195, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fort Lee Physical Therapy, P.C.

  • Physical Therapist
  • Fort Lee, NJ
  • NPI 1003050436
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1689283228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 FRANKLIN LN",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087591899",
            "telephone_number": "908-875-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BRIDGE PLZ N",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245059",
            "telephone_number": "201-585-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCANO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01934000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Virginia Malajian, PT, DPT
• Samel Maldonado, PH.D
• Vera Malezhik, DPM
• Anatoly Maloletkin
• Mukundha Belliappa Maneyapanda, M.D.
• Robert J Marchetti
• Stanley Markman, DDS
• Angela Marie Marquez, OT-LP
• Natalia Konstancja Massar, PMHNP
• Leyla Amanda Mata, M.A., ED.M, L.P.C.

• Physical Therapist in Fort Lee, NJ
• Providers in Fort Lee, 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 Jul 29, 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.