Individual provider Active NPI

Geraldine Ifunanya Amadi

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1790411726
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02086200 Issued in NJ
Practice address
319 Barrow St
Jersey City, NJ 07302-3578
Phone
(201) 433-2096
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02086200 NJ Primary

Addresses

Primary practice location

319 Barrow St
Jersey City, NJ 07302-3578

Mailing address

70 Wildcat Branch Dr
Sicklerville, NJ 08081-4890
Phone (856) 739-6394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220827000653 NJ Practitioner - Physical Therapist in Private Practice 0345624136 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Rehab Somerset PAGroup PAC ID 0547540809, 57 clinicians
Peak Medical and Wellness Centers LLCGroup PAC ID 5294176236, 6 clinicians

Practice addresses (Care Compare)

1172 Hamburg Tpke
Wayne, NJ 07470-5054
Phone (800) 518-0977

205 Robin Rd
Suite 118
Paramus, NJ 07652-1424
Phone (201) 225-1511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02086200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Touch Rehabilitation & Wellness Center PC CurrentSince Jul 29, 2022 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Dec 1, 2025 Accepting new patients
Peak Medical & Wellness Centers LLC CurrentSince Jan 1, 2025 Accepting new patients
Ultimate Health & Wellness PC CurrentSince Mar 26, 2023 Accepting new patients
Clifton Physical Therapy & Rehab Center LLC Physical Therapist CurrentSince Feb 17, 2024 Accepting new patients

Locations

1373 Broad St
Ste 204
Clifton, NJ 07013
Phone (862) 249-1330

319 Barrow St
Ste 1A
Jersey City, NJ 07302
Phone (201) 433-2096

205 Robin Rd
Ste 118
Paramus, NJ 07652
Phone (201) 225-1511

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

175 Route 37 W
#R
Toms River, NJ 08755

1172 Hamburg Tpke
Wayne, NJ 07470
Phone (862) 684-8380

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1790411726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WILDCAT BRANCH DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814890",
            "telephone_number": "856-739-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BARROW ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023578",
            "telephone_number": "201-433-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADI",
        "first_name": "GERALDINE",
        "middle_name": "IFUNANYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02086200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.