John Bruce Puzio, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01923000 Issued in NJ

Practice address

873 Main St Ste 2S
Hackensack, NJ 07601-4930

Phone

(201) 290-4826

Fax

(201) 643-6195

NPI assigned

Sep 5, 2019

Last updated

Dec 1, 2022By 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)

Enrolled

State licenses

Practice roles

Locations

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.

• Ethos PT LLC

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1710500152
  NPD Authorized official
• VG Physical Therapy

  • Physical Therapy Clinic/Center
  • Saddle Brook, NJ
  • NPI 1386313807
  NPD (past)

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1730738402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 MAIN ST STE 2S",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014930",
            "telephone_number": "201-290-4826",
            "fax_number": "201-643-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 MAIN ST STE 2S",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014930",
            "telephone_number": "201-290-4826",
            "fax_number": "201-643-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUZIO",
        "first_name": "JOHN",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01923000",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleksandar Prvulovic
• Psychiatric Associates LLP
• Maksim Ptushko, M.D.
• Ajay Kumar Puri, MD
• Matthew Putts, PHD, LPC, LRC
• PVP Pharmacy LLC (Pharmacy Central)
• Ahmad M Qatanani, DO
• Shahana Quadir, NURSE PRACTITIONER
• Quality Caring Solutions
• Quantum Physical Therapy, LLC

• Physical Therapist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.