Serg Mari Sanchez Entise, BSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00994400 Issued in NJ

Practice address

400 Passaic Ave
Apt 112
East Newark, NJ 07029-2852

Phone

(201) 575-0070

NPI assigned

May 22, 2007

Last updated

Apr 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exemplary Home Therapy Services LLCGroup PAC ID 0840658084, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Exemplary Home Therapy Services LLC

  • Rehabilitation Clinic/Center
  • Belleville, NJ
  • NPI 1235823311

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Holsman Physical and Occupational Therapy, PC

  • Geriatric Physical Therapist
  • Rahway, NJ
  • NPI 1114276441
  Medicare reassignment NPD
• Holsman Physical Therapy and Rehabilitation PC

  • Geriatric Physical Therapist
  • Clifton, NJ
  • NPI 1629350467
  Medicare reassignment NPD
• Holsman Physical Therapy and Wellness PC

  • Geriatric Physical Therapist
  • Cedar Grove, NJ
  • NPI 1578816179
  Medicare reassignment NPD
• Home Therapy, LLC

  • Geriatric Physical Therapist
  • Clifton, NJ
  • NPI 1295962835
  Medicare reassignment NPD
• Active Health Physical Therapy

  • Physical Therapist
  • Edgewater, NJ
  • NPI 1477751881
  NPD
• Functional Home Therapy Services LLC

  • Physical Therapist
  • Belleville, NJ
  • NPI 1053085092
  NPD
• Holsman Physical and Occupational Therapy PC

  • Physical Therapist
  • Rahway, NJ
  • NPI 1659079069
  NPD
• Interventional Pain Management & Rehab. PC.

  • Physical Medicine & Rehabilitation Physician
  • Teaneck, NJ
  • NPI 1922338615
  NPD (past)
• Major Adjustments, Inc

  dba Doctor's House

  • Family Medicine Physician
  • West New York, NJ
  • NPI 1639332943

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1811107733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BROAD ST APT 406",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032373",
            "telephone_number": "201-575-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PASSAIC AVE",
            "address_2": "APT 112",
            "city": "EAST NEWARK",
            "state": "NJ",
            "postal_code": "070292852",
            "telephone_number": "201-575-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTISE",
        "first_name": "SERG MARI",
        "middle_name": "SANCHEZ",
        "name_prefix": "Mr.",
        "credential": "BSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00994400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E & K Medical Supply LLC.
• Shubhangi Thakar

• Physical Therapist in East Newark, NJ
• Providers in East Newark, 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 Apr 23, 2019; 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.