Individual provider Active NPI

Anthony Calabrese, PT, DPT

  • Physical Therapist
  • West New York, NJ
National Provider Identifier
1760079552
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01977600 Issued in NJ
Practice address
6612-18 Bergenline Ave
West New York, NJ 07093
Phone
(201) 854-5511
NPI assigned
Dec 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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 40QA01977600 NJ Primary

Addresses

Primary practice location

6612-18 Bergenline Ave
West New York, NJ 07093

Mailing address

6401 Bergenwood Ave
North Bergen, NJ 07047-3537
Phone (201) 920-6759

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201231000641 NJ Practitioner - Physical Therapist in Private Practice 2466865936 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetic Physical Therapy, PCGroup PAC ID 5597774612, 5 clinicians

Practice addresses (Care Compare)

171 Lake St
Ramsey, NJ 07446-2089
Phone (201) 327-1990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01977600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Dec 28, 2020 Accepting new patients
Kinetic Physical Therapy, PC Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients
Attain Physical Therapy Physical Therapist CurrentSince Sep 4, 2024 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Dec 28, 2020 Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

11 Eagle Rock Ave
Ste 103
East Hanover, NJ 07936
Phone (973) 887-0115

1275 Bloomfield Ave
Ste 60
Fairfield, NJ 07004

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

171 Lake St
Ramsey, NJ 07446
Phone (201) 327-1990

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

530 Lakehurst Rd
Ste 202204
Toms River, NJ 08755
Phone (732) 349-1201

6612 Bergenline Ave
#18
West New York, NJ 07093
Phone (201) 845-5511

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": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1760079552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 BERGENWOOD AVE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070473537",
            "telephone_number": "201-920-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612-18 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-854-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABRESE",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01977600",
            "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 Dec 28, 2020; 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.