Individual provider Active NPI

Rafael Aaron Marinelli, PT, DPT, L.A.C.

  • Physical Therapist
  • Cliffside Park, NJ
National Provider Identifier
1760714463
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02080100 Issued in NJ
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220420000130 NJ Practitioner - Physical Therapist in Private Practice 1355738469 Reassigns benefits to 5 organizations

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
Emerson Physical Therapy LLCGroup PAC ID 0941541908, 4 clinicians

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

LicenseStateTypeSpecialty
25MZ00072400NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Paramus Physical Therapy and Rehabilitation LLC CurrentSince Dec 1, 2023 Accepting new patients
Clifton Physical Therapy & Rehab Center LLC Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Bergenfield Physical Therapy & Rehab Center LLC Physical Therapist CurrentSince Oct 31, 2023 Accepting new patients
Maywood Physical Therapy LLC CurrentSince Dec 6, 2023 Accepting new patients
Emerson Physical Therapy LLC CurrentSince Dec 1, 2023 Accepting new patients
Andrew M Rodgers Past Accepting new patients
Town Chiropractor Paramus LLC Acupuncturist PastSince Dec 1, 2023 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.

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.

Verify at the official NPI Registry.