Active NPI
Steven Bissoondial
- Physical Therapy Assistant
- Totowa, NJ
National Provider Identifier
1699233023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 40QB00359400
- Practice address
- 351 Union Blvd
Totowa, NJ 07512-2556 - Phone
- (862) 239-1768
- NPI assigned
- Mar 5, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QB00359400 | NJ | Primary |
Addresses
Primary practice location
351 Union Blvd
Totowa, NJ 07512-2556
Mailing address
9 Sunburst LN
Wayne, NJ 07470-4955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40QB00359400 | Other | NJ | NEW JERSEY STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QB00359400 | NJ | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Spine and Sports Care of Totowa | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Totowa, NJ
- NPI 1306231527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1699233023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SUNBURST LN",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074704955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 UNION BLVD",
"city": "TOTOWA",
"state": "NJ",
"postal_code": "075122556",
"telephone_number": "862-239-1768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISSOONDIAL",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-05",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00359400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY STATE LICENSE NUMBER",
"identifier": "40QB00359400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Totowa, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.