Individual provider Active NPI

Nicholas S Federici, PT

  • Physical Therapist
  • Parsippany, NJ
National Provider Identifier
1710036165
Registry record updated Jun 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00132800 Issued in NJ
Practice address
1081 Littleton Rd
Parsippany, NJ 07054-6906
Phone
(973) 683-1351
Fax
(973) 683-1342
NPI assigned
Jan 8, 2007
Last updated
Jun 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2014

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 40QA00132800 NJ Primary

Addresses

Primary practice location

1081 Littleton Rd
Parsippany, NJ 07054-6906

Mailing address

PO Box 5906
1081 Littleton Rd
Parsippany, NJ 07054-6906
Phone (973) 683-1351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110712000753 NJ Practitioner - Physical Therapist in Private Practice 9537337878 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parsippany Physical Therapy & Rehabilitation Inc Physical Therapist CurrentSince Jan 1, 1989 Accepting new patients

Locations

1081 Littleton Rd
Morris Plains, NJ 07950
Phone (973) 683-1351

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403913600000",
    "number": "1710036165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5906",
            "address_2": "1081 LITTLETON RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070546906",
            "telephone_number": "973-683-1351",
            "fax_number": "973-683-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 LITTLETON RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070546906",
            "telephone_number": "973-683-1351",
            "fax_number": "973-683-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICI",
        "first_name": "NICHOLAS",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00132800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.