Individual provider Active NPI

Vicson Tongol Limlingan, BSPT

  • Physical Therapist
  • New Milford, NJ
National Provider Identifier
1851500367
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00978800 Issued in NJ
Practice address
800 River Rd
New Milford, NJ 07646-3127
Phone
(201) 967-1700
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

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 40QA00978800 NJ Primary

Addresses

Primary practice location

800 River Rd
New Milford, NJ 07646-3127

Mailing address

461 Elizabeth St
New Milford, NJ 07646-1014
Phone (201) 726-2211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170109000306 NJ Practitioner - Physical Therapist in Private Practice 2961783816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

185 Route 17 S
Suite 101
Paramus, NJ 07652
Phone (844) 777-0910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00978800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kayal Medical Group, LLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Kayal Orthopaedic Center, P.C. CurrentSince Jul 29, 2020 Accepting new patients
Madison Physical Therapy Limited Partnership Physical Therapist CurrentSince Mar 12, 2018 Accepting new patients
Madison PT of New Jersey, PC Physical Therapist Past Accepting new patients

Locations

105 Union Ave
Cresskill, NJ 07626

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

219 Richmond Ave
New Milford, NJ 07646
Phone (201) 907-3150

215 Old Tappan Rd
Old Tappan, NJ 07675
Phone (201) 666-1000

185 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 560-0711

185 N Route 17
Ste 104
Paramus, NJ 07652

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

354 Old Hook Rd
Ste G1
Westwood, NJ 07675
Phone (201) 594-9312

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851500367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 ELIZABETH ST",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461014",
            "telephone_number": "201-726-2211",
            "fax_number": "201-244-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RIVER RD",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076463127",
            "telephone_number": "201-967-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMLINGAN",
        "first_name": "VICSON",
        "middle_name": "TONGOL",
        "credential": "BSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00978800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, 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.