Active NPI
Michael Durante
- Physical Therapist
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01622200
- Practice address
- 25 Prospect Ave
Hackensack, NJ 07601-1960 - Phone
- (201) 343-2700
- Fax
- (201) 343-2755
- NPI assigned
- Sep 17, 2015
- Last updated
- Sep 17, 2015
- 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 Therapist | 225100000X | 40QA01622200 | NJ | Primary |
Addresses
Primary practice location
25 Prospect Ave
Hackensack, NJ 07601-1960
Mailing address
2142 Utopia Pkwy
Whitestone, NY 11357-4142
Phone (718) 819-6805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
58 E Midland Ave
Paramus, NJ 07652-2958
Phone (201) 578-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Staff Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Durante Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
935 Allwood Rd
Fl First
Clifton, NJ 07012
Phone (973) 928-3590
49 Claremont Ave
Ste 5
Montclair, NJ 07042
Phone (973) 680-8390
265 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-0500
Organizations & group practices 2
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.
-
dba Durante Physical Therapy LLC
- Physical Therapist
- Paramus, NJ
- NPI 1518574037
-
- Physical Therapy Clinic/Center
- Nutley, NJ
- NPI 1265750871
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1700255072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 UTOPIA PKWY",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113574142",
"telephone_number": "718-819-6805",
"fax_number": "347-841-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011960",
"telephone_number": "201-343-2700",
"fax_number": "201-343-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURANTE",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-17",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01622200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.