Individual provider Active NPI

Benjamin M. Archetto, BS, DPT

  • Physical Therapist
  • Mays Landing, NJ
National Provider Identifier
1730458795
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01426400 Issued in NJ
Practice address
6090 Dannenhauer LN Ste 4
Mays Landing, NJ 08330-1462
Phone
(856) 982-3679
NPI assigned
Dec 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 40QA01426400 NJ Primary

Addresses

Primary practice location

6090 Dannenhauer LN Ste 4
Mays Landing, NJ 08330-1462

Mailing address

409 S Harding Hwy
Landisville, NJ 08326-1441
Phone (856) 982-3679

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000399 NJ Practitioner - Physical Therapist in Private Practice 6305000894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6090 Dannenhauer LN
Suite 4
Mays Landing, NJ 08330-1462
Phone (856) 626-4022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
40QA01426400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Archer Physical Therapy Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients

Locations

6090 Dannenhauer Ln
Ste 4
Mays Landing, NJ 08330
Phone (856) 626-4022

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.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1730458795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S HARDING HWY",
            "city": "LANDISVILLE",
            "state": "NJ",
            "postal_code": "083261441",
            "telephone_number": "856-982-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6090 DANNENHAUER LN STE 4",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083301462",
            "telephone_number": "856-982-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHETTO",
        "first_name": "BENJAMIN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "BS, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-21",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01426400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mays Landing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.

Verify at the official NPI Registry.