NPIMap

Organization Active NPI

Mahwah Health Services, LLC

Doing business as mahwah physical therapy

  • Physical Therapist
  • Mahwah, NJ
National Provider Identifier
1851445068
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA007693 Issued in NJ
Legal business name
MAHWAH HEALTH SERVICES, LLC
Doing business as
mahwah physical therapy
Practice address
195 Franklin Tpke
Mahwah, NJ 07430-1339
Phone
(201) 828-9290
Fax
(201) 828-9670
NPI assigned
Jan 23, 2007
Last updated
Jun 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Mr. Rich Craig Edelson
Title
Owner
Phone
(201) 828-9290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA007693 NJ Primary

Addresses

Primary practice location

195 Franklin Tpke
Mahwah, NJ 07430-1339

Mailing address

195 Franklin Tpke Ste 9
Mahwah, NJ 07430-1364
Phone (201) 828-9290

Other names 1

  • mahwah physical therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070216000440 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9335241660 Receives reassigned benefits from 5 practitioners
Practice locations: Mahwah, NJ

National Provider Directory

National Provider Directory
Tax ID family
Mahwah Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

180 Franklin Tpke
Ste 9
Mahwah, NJ 07430
Phone (201) 828-9290

195 Franklin Tpke
Ste 9
Mahwah, NJ 07430
Phone (201) 828-9290

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1851445068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FRANKLIN TPKE STE 9",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301364",
            "telephone_number": "201-828-9290",
            "fax_number": "201-828-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FRANKLIN TPKE",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301339",
            "telephone_number": "201-828-9290",
            "fax_number": "201-828-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHWAH HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "EDELSON",
        "authorized_official_first_name": "RICH",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-828-9290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA007693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mahwah physical therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "mahwah physical therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mahwah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.