Individual provider Active NPI

Urszula Nieznalska, PT

  • Physical Therapist
  • Fair Lawn, NJ
National Provider Identifier
1700369782
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01815200 Issued in NJ
Practice address
39-40 Broadway
Fair Lawn, NJ 07410-5419
Phone
(201) 791-0008
NPI assigned
Sep 14, 2018
Last updated
Sep 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01815200 NJ Primary

Addresses

Primary practice location

39-40 Broadway
Fair Lawn, NJ 07410-5419

Mailing address

280 Mount Pleasant Ave
Wallington, NJ 07057-1609
Phone (201) 543-8134

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1700369782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MOUNT PLEASANT AVE",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571609",
            "telephone_number": "201-543-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39-40 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105419",
            "telephone_number": "201-791-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEZNALSKA",
        "first_name": "URSZULA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01815200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.