Active NPI
Carl N Malatesta, PT CHT
- Physical Therapist
- Millburn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40AQ00650200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCSportscare of America, PCUnited Sports Care and Physical Therapy
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40AQ00650200 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportscare of America, PC | Physical Therapist | Current | Accepting new patients |
| Synaptic Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| United Sports Care & Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Synaptic Rehab Bridgewater | Physical Therapist | Past | 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.
-
- Occupational Therapist
- Cedar Knolls, NJ
- NPI 1972881233
NJ, Physical Therapist
-
- Physical Therapist
- Bridgewater, NJ
- NPI 1487460770
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.