Organization Active NPI

Peak Performance Physical Therapy and Sports Medicine

  • Physical Therapist
  • West New York, NJ
National Provider Identifier
1740920255
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK PERFORMANCE PHYSICAL THERAPY AND SPORTS MEDICINE
Practice address
6040 John F. Kennedy Blvd
18C
West New York, NJ 07093
Phone
(201) 245-4776
NPI assigned
Mar 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Dr. Giancarlo Rozon, PT, DPTNPI 1407310683
Title
Owner
Phone
(201) 245-4776

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

6040 John F. Kennedy Blvd
18C
West New York, NJ 07093

Mailing address

56 Jay Dr
Paramus, NJ 07652-2320
Phone (201) 245-4776

Other practice location 1

56 Jay Dr
Paramus, NJ 07652-2320
Phone (201) 245-4776

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1740920255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 JAY DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522320",
            "telephone_number": "201-245-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 JOHN F. KENNEDY BLVD",
            "address_2": "18C",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-245-4776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Jay Dr",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522320",
            "country_code": "US",
            "telephone_number": "201-245-4776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEAK PERFORMANCE PHYSICAL THERAPY AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-20",
        "status": "A",
        "authorized_official_last_name": "ROZON",
        "authorized_official_first_name": "GIANCARLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-245-4776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "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 West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.