NPIMap

Organization Active NPI

Madison PT of New Jersey, PC

  • Physical Therapist
  • Westwood, NJ
National Provider Identifier
1740369347
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MADISON PT OF NEW JERSEY, PC
Practice address
400 Old Hook Rd
Westwood, NJ 07675-2732
Phone
(201) 594-9312
Fax
(201) 907-0404
NPI assigned
Nov 3, 2006
Last updated
Oct 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Perry Bonomo, MSPTNPI 1174536320
Title
President
Phone
(201) 594-9312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

400 Old Hook Rd
Westwood, NJ 07675-2732

Mailing address

219 Richmond Ave
New Milford, NJ 07646-2517
Phone (201) 594-9312

National Provider Directory

National Provider Directory

Locations

215 Old Tappan Rd
Old Tappan, NJ 07675
Phone (201) 666-1000

145 Piermont Rd
Tenafly, NJ 07670
Phone (201) 568-3355

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1740369347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 RICHMOND AVE",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462517",
            "telephone_number": "201-594-9312",
            "fax_number": "201-907-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752732",
            "telephone_number": "201-594-9312",
            "fax_number": "201-907-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PT OF NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "BONOMO",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-594-9312",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.