Active NPI
Nelo Bonocan, PT
- Physical Therapist
- Hackensack, NJ
National Provider Identifier
1760704332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01244400
- Practice address
- 6 Spring Valley Ave
Hackensack, NJ 07601-3801 - Phone
- (201) 489-9555
- Fax
- (201) 489-9569
- NPI assigned
- Feb 23, 2010
- Last updated
- Feb 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01244400 | NJ | Primary |
Addresses
Primary practice location
6 Spring Valley Ave
Hackensack, NJ 07601-3801
Mailing address
6 Srping Valley Avenue
Hackensack, NJ 07601
Phone (201) 489-9555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1760704332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SRPING VALLEY AVENUE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "201-489-9555",
"fax_number": "201-489-9569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 SPRING VALLEY AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076013801",
"telephone_number": "201-489-9555",
"fax_number": "201-489-9569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONOCAN",
"first_name": "NELO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-23",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01244400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.