Noah L Kubissa, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01402400 Issued in NJ

Practice address

535 Grand Ave
Englewood, NJ 07631-4934

Phone

(201) 541-1111

NPI assigned

Dec 19, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Chronic Pain Physical Therapy

  • Physical Therapy Clinic/Center
  • Yardley, PA
  • NPI 1891489605
  NPD Authorized official
• Our Home Adult Day Care, LLC

  • Adult Day Care Clinic/Center
  • Englewood, NJ
  • NPI 1568986131
  NPD (past)
• Sportsmed PT LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1841787645
  NPD (past)
• Aerodream LLC

  • Physical Therapist
  • Vienna, VA
  • NPI 1982859930
  NPD (past)

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1740559806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FAIRMOUNT AVE",
            "address_2": "STE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865494",
            "telephone_number": "410-927-8768",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314934",
            "telephone_number": "201-541-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBISSA",
        "first_name": "NOAH",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01402400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Kramer, LCSW, DSW
• Patricia A Kraycinovich, NP
• Preethi Krishnan, M.D
• Mary Krupa, CRNA
• Cassandra C Krupski, BCBA
• Sumedha V Kulkarni, M.D.
• Kenneth Craig Kutner, PH.D.
• Svetlana Kutuzov, FNP
• Taekhyun Kwon, M.D.
• L&L Staffing and Home Care Services, Inc.

• Physical Therapist in Englewood, NJ
• Providers in Englewood, 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 Nov 28, 2016; 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.