Individual provider Active NPI

Carl N Malatesta, PT CHT

  • Physical Therapist
  • Millburn, NJ
National Provider Identifier
1831129337
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40AQ00650200 Issued in NJ
Practice address
187 Millburn Ave
Suite 110
Millburn, NJ 07041
Phone
(973) 467-7976
Fax
(973) 467-7971
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40AQ00650200 NJ Primary

Addresses

Primary practice location

187 Millburn Ave
Suite 110
Millburn, NJ 07041

Mailing address

187 Millburn Ave
Suite 110
Millburn, NJ 07041
Phone (973) 467-7976

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050209000316 NJ Practitioner - Physical Therapist in Private Practice 3375594120 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synaptic Rehabilitation LLCGroup PAC ID 3971835968, 19 clinicians
Sportscare of America, PCGroup PAC ID 9032213756, 132 clinicians
United Sports Care and Physical TherapyGroup PAC ID 9436324886, 41 clinicians

Practice addresses (Care Compare)

5 Boxwood Way
Warren, NJ 07059-6859
Phone (908) 801-6425

545 State Route 35
Red Bank, NJ 07701-5037
Phone (732) 758-8388

80 Oak Hill Rd
Red Bank, NJ 07701-5727
Phone (732) 784-4321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40AQ00650200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare of America, PC Physical Therapist CurrentSince May 1, 2017 Accepting new patients
Synaptic Rehabilitation, LLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Feb 26, 2019 Accepting new patients
Synaptic Rehab Bridgewater Physical Therapist PastSince Sep 15, 2025 Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

1 W Ridgewood Ave
Ste 104
Paramus, NJ 07652
Phone (201) 652-1415

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

545 State Route 35
Red Bank, NJ 07701
Phone (732) 758-8388

Organizations & group practices 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831129337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 MILLBURN AVE",
            "address_2": "SUITE 110",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "07041",
            "telephone_number": "973-467-7976",
            "fax_number": "973-467-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 MILLBURN AVE",
            "address_2": "SUITE 110",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "07041",
            "telephone_number": "973-467-7976",
            "fax_number": "973-467-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALATESTA",
        "first_name": "CARL",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "PT  CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40AQ00650200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.