Individual provider Active NPI

Philip Tasca, MD

  • Physical Medicine & Rehabilitation Physician
  • Englewood, NJ
National Provider Identifier
1780668764
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA07872400 Issued in NJ
Practice address
500 Grand Ave
First Floor
Englewood, NJ 07631-4967
Phone
(201) 567-2277
Fax
(201) 567-7506
NPI assigned
Dec 2, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA07872400 NJ Primary
Physical Medicine & Rehabilitation Physician 208100000X 2355541 NY

Addresses

Primary practice location

500 Grand Ave
First Floor
Englewood, NJ 07631-4967

Mailing address

500 Grand Ave
First Floor
Englewood, NJ 07631-4967
Phone (201) 567-2277

Other identifiers 1

IdentifierTypeStateIssuer
D08681200OtherNJCDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050329000394 NJ Practitioner - Physical Medicine and Rehabilitation 8224933791 Reassigns benefits to 1 organization
I20050627001395 NY Practitioner - Physical Medicine and Rehabilitation 8224933791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Temple University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physical Medicine and Rehabilitation Center PAGroup PAC ID 1658273750, 26 clinicians

Practice addresses (Care Compare)

365 Route 304
Suite 102
Bardonia, NY 10954-1601
Phone (845) 624-2182

500 Grand Ave
Englewood, NJ 07631-4968
Phone (201) 567-2277

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2355541NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine and Rehabilitation Center PA Physical Medicine & Rehabilitation CurrentSince Mar 1, 2005 Accepting new patients
Hana Healthcare, P.C. PastSince Oct 1, 2019 Accepting new patients
Physical Medicine and Rehabilitation Center, PA Past Accepting new patients

Locations

15 Engle St
Ste 205
Englewood, NJ 07631
Phone (201) 567-2277

500 Grand Ave
Ste 100
Englewood, NJ 07631
Phone (201) 227-1760

365 Route 304
Ste 102
Nanuet, NY 10954
Phone (845) 624-2182

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780668764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GRAND AVE",
            "address_2": "FIRST FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314967",
            "telephone_number": "201-567-2277",
            "fax_number": "201-567-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GRAND AVE",
            "address_2": "FIRST FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314967",
            "telephone_number": "201-567-2277",
            "fax_number": "201-567-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASCA",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07872400",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "2355541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "D08681200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.