North Jersey Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00695400 Issued in NJ

Legal business name

NORTH JERSEY PHYSICAL THERAPY INC.

Practice address

121 Ridge Dr
Montville, NJ 07045-9488

Phone

(973) 809-1035

Fax

(973) 838-2349

NPI assigned

Dec 9, 2010

Organization subpart

No

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

Authorized official

Name

Kenneth William Hinz, P.T.

Title

President

Phone

(973) 838-6122

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1811290042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RIDGE DR",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459488",
            "telephone_number": "973-809-1035",
            "fax_number": "973-838-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RIDGE DR",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459488",
            "telephone_number": "973-809-1035",
            "fax_number": "973-838-2349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Denise Dr",
            "address_purpose": "LOCATION",
            "city": "Kinnelon",
            "state": "NJ",
            "postal_code": "074052939",
            "country_code": "US",
            "telephone_number": "973-838-6122",
            "fax_number": "973-838-2349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH JERSEY PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "HINZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-838-6122",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00695400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1891907291",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.