Jason Kane Vannoy, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00745300 Issued in NJ

Practice address

1050 Wall St W Ste 200
Lyndhurst, NJ 07071-3615

Phone

(201) 531-2500

NPI assigned

Apr 19, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• MCRC Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1932154853
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770700213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 RIVER ST APT 603",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305862",
            "telephone_number": "201-683-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 WALL ST W STE 200",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713615",
            "telephone_number": "201-531-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNOY",
        "first_name": "JASON",
        "middle_name": "KANE",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00745300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Medical PC
• United Medical PC
• Unity Care Transport LLC
• Anne-Marie Irene Urbanski, LPC
• Christine Lauren Ussher, LSW
• Vein Care Associates of NJ Inc.
• Peter Andrew Velardi, DDS
• Valerie Ann Ventura LPC, MS/ LPC
• Michelle Vieira, BCBA
• Voice & Value Psychotherapy PC

• Physical Therapist in Lyndhurst, NJ
• Providers in Lyndhurst, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.