Individual provider Active NPI

Stephanie D Sipala, DPT

  • Physical Therapist
  • Waldwick, NJ
National Provider Identifier
1750581971
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01247600 Issued in NJ
Practice address
18 Wyckoff Ave
Waldwick, NJ 07463-1777
Phone
(201) 447-5757
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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 40QA01247600 NJ Primary

Addresses

Primary practice location

18 Wyckoff Ave
Waldwick, NJ 07463-1777

Mailing address

18 Wyckoff Ave
Waldwick, NJ 07463-1777
Phone (201) 447-5757

Other identifiers 1

IdentifierTypeStateIssuer
113275DBDOtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070809000533 NJ Practitioner - Physical Therapist in Private Practice 1557452232 Reassigns benefits to 1 organization
Practice locations: Westwood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen a Jones LLCGroup PAC ID 3971601394, 6 clinicians

Practice addresses (Care Compare)

18 Wyckoff Ave
Suite 201
Waldwick, NJ 07463-1778
Phone (201) 447-5757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen a. Jones, L.L.C. Physical Therapist CurrentSince Mar 1, 2015 Accepting new patients
Matrix Physical Therapy,LLC Physical Therapist CurrentSince Apr 15, 2015 Accepting new patients
Madison Spine and Physicaltherapy, Inc. Physical Therapist Past Accepting new patients
Madison Spine Limited Partnership Physical Therapist Past Accepting new patients

Locations

222 Kinderkamack Rd
Ste 103
Oradell, NJ 07649
Phone (201) 225-2511

18 Wyckoff Ave
Ste 201
Waldwick, NJ 07463
Phone (201) 447-5757

Organizations & group practices 4

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1750581971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WYCKOFF AVE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631777",
            "telephone_number": "201-447-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WYCKOFF AVE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631777",
            "telephone_number": "201-447-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPALA",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01247600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "113275DBD",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.