Individual provider Active NPI

Ailene Matusevich

  • Physical Therapist
  • Pompton Lakes, NJ
National Provider Identifier
1811434988
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01563300 Issued in NJ
Practice address
PO Box 18
Pompton Lakes, NJ 07442-0018
Phone
(551) 804-5854
NPI assigned
Jan 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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 40QA01563300 NJ Primary

Addresses

Primary practice location

PO Box 18
Pompton Lakes, NJ 07442-0018

Mailing address

PO Box 18
Pompton Lakes, NJ 07442-0018
Phone (551) 804-5854

Other names 1

  • Ailene Yoffe Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228000499 NJ Practitioner - Physical Therapist in Private Practice 2062796691 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01563300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Sep 21, 2025 Accepting new patients
Flow Home Care Physical Therapy LLC Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Sep 21, 2025 Accepting new patients

Locations

644 Goffle Rd
Hawthorne, NJ 07506
Phone (201) 689-7991

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1811434988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074420018",
            "telephone_number": "551-804-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074420018",
            "telephone_number": "551-804-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUSEVICH",
        "first_name": "AILENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01563300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AILENE",
            "last_name": "YOFFE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.