Active NPI
Rafael Aaron Marinelli, PT, DPT, L.A.C.
- Physical Therapist
- Cliffside Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02080100
- Practice address
- 1 Towne Center Drive
Suite 107
Cliffside Park, NJ 07010-2056 - Phone
- (201) 988-0796
- Fax
- (201) 731-8581
- NPI assigned
- Feb 4, 2010
- Last updated
- Mar 28, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00072400 | NJ | |
| Physical Therapist | 225100000X | 40QA02080100 | NJ | Primary |
Addresses
Primary practice location
1 Towne Center Drive
Suite 107
Cliffside Park, NJ 07010-2056
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (888) 830-4125
Other practice location 1
530 Main St
Suite 2
Fort Lee, NJ 07024-4506
Phone (201) 592-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 Emerson Plaza E
Emerson, NJ 07630-1886
Phone (201) 477-8415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MZ00072400 | NJ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paramus Physical Therapy and Rehabilitation LLC | Current | Accepting new patients | |
| Clifton Physical Therapy & Rehab Center LLC | Physical Therapist | Current | Accepting new patients |
| Bergenfield Physical Therapy & Rehab Center LLC | Physical Therapist | Current | Accepting new patients |
| Maywood Physical Therapy LLC | Current | Accepting new patients | |
| Emerson Physical Therapy LLC | Current | Accepting new patients | |
| Andrew M Rodgers | Past | Accepting new patients | |
| Town Chiropractor Paramus LLC | Acupuncturist | Past | Accepting new patients |
Locations
253 S Washington Ave
Ste 1A
Bergenfield, NJ 07621
Phone (201) 338-4053
1373 Broad St
Ste 204
Clifton, NJ 07013
Phone (862) 249-1330
45 Emerson Plz E
Ste 102
Emerson, NJ 07630
Phone (201) 477-8415
119 E Passaic St
Maywood, NJ 07607
Phone (201) 880-7787
12 N State Rt 17
Ste 118
Paramus, NJ 07652
Phone (201) 535-4145
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Emerson, NJ
- NPI 1659837607
-
dba Bergenfield Physical Therapy & Rehab Center
- Physical Therapy Clinic/Center
- Bergenfield, NJ
- NPI 1366093973
Physical Therapist
-
- Physical Therapy Clinic/Center
- Clifton, NJ
- NPI 1225605363
Physical Therapist
-
- Physical Therapy Clinic/Center
- Maywood, NJ
- NPI 1568840080
-
- Physical Therapy Clinic/Center
- Paramus, NJ
- NPI 1124740238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1760714463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224",
"telephone_number": "888-830-4125",
"fax_number": "201-592-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TOWNE CENTER DRIVE",
"address_2": "SUITE 107",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070102056",
"telephone_number": "201-988-0796",
"fax_number": "201-731-8581"
}
],
"practiceLocations": [
{
"address_1": "530 Main St",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070244506",
"country_code": "US",
"telephone_number": "201-592-6200",
"fax_number": "201-592-6401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARINELLI",
"first_name": "RAFAEL",
"middle_name": "AARON",
"credential": "PT, DPT, L.A.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-04",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00072400",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02080100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cliffside Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.