Tiffany Nwako

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02223200 Issued in NJ

Practice address

565 Conant St
Hillside, NJ 07205-2524

Phone

(973) 521-0238

NPI assigned

Nov 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synaptic Rehabilitation LLCGroup PAC ID 3971835968, 19 clinicians

Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Synaptic Rehabilitation, LLC

  • Physical Therapist
  • Warren, NJ
  • NPI 1518514397
  Medicare reassignment Care Compare group NPD
• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ

  Medicare reassignment Care Compare group NPD
• Synaptic Rehab Bridgewater

  • Physical Therapist
  • Bridgewater, NJ
  • NPI 1487460770
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1770357303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 CONANT ST",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 CONANT ST",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052524",
            "telephone_number": "973-521-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAKO",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02223200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newlife Healthcare LLC
• NJ Social Services LLC
• NJ Vision Care LLC
• North American Life Sciences, LLC
• Stella Ijeoma Nwachukwu I
• Precious 134-04-9109 Nwigwe
• Sabina Nwokoro
• Oak Dynamic Healthcare
• Oak Dynamic Healthcare
• Marc Oakley

• Physical Therapist in Hillside, NJ
• Providers in Hillside, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.