Matthew George Busacca

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

1225 Gardens Ave
Point Pleasant Boro, NJ 08742-4043

Phone

(732) 552-6253

NPI assigned

Apr 1, 2021

Last updated

Apr 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Matthew Busacca LLC

  • Physical Therapy Clinic/Center
  • Point Pleasant Boro, NJ
  • NPI 1457930299
  NPD Authorized official

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1700464377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 GARDENS AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424043",
            "telephone_number": "732-552-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 GARDENS AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424043",
            "telephone_number": "732-552-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSACCA",
        "first_name": "MATTHEW",
        "middle_name": "GEORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Buchholz Bariatrics
• Butler Pharmacy Inc (Butler Pharmacy)
• Judith Carletta, OPTICIAN
• Stella A. Carpenter, LCSW
• Natalie Doyle Carroll, LPC
• Carolyn Ann Cashman, LCSW

• Clinical Exercise Physiologist in Point Pleasant Boro, NJ
• Providers in Point Pleasant Boro, NJ by specialty
• Clinical Exercise Physiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.