Active NPI
Monique Bersano, DPT, OCS
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01589400
- Practice address
- 240 Greenwich St Suite 1E
New York, NY 10286-3445 - Phone
- (212) 815-4910
- NPI assigned
- Jan 26, 2015
- Sex
- Female
- 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 | 40QA01589400 | NJ | Primary |
Addresses
Primary practice location
240 Greenwich St Suite 1E
New York, NY 10286-3445
Mailing address
549 Westwood Ave
River Vale, NJ 07675-5540
Phone (949) 375-5719
Other practice location 1
150 Flanagan Way
Secaucus, NJ 07094-3445
Phone (201) 319-0010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
645 Westwood Ave
Suite 100
River Vale, NJ 07675-5300
Phone (201) 666-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01589400 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Valley Physical Therapy PA | Current | Accepting new patients | |
| Diego Ruiz DC LLC | Physical Therapist | Current | Accepting new patients |
| Premise Health of New York Medical, P.C | Past | Accepting new patients |
Locations
582 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-4601
645 Westwood Ave
Ste 100
River Vale, NJ 07675
Phone (201) 666-9100
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.
-
- Physical Therapy Clinic/Center
- River Vale, NJ
- NPI 1629096292
-
- General Practice Physician
- New York, NY
- NPI 1033486568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727568000000",
"number": "1851781199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "549 WESTWOOD AVE",
"city": "RIVER VALE",
"state": "NJ",
"postal_code": "076755540",
"telephone_number": "949-375-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 GREENWICH ST SUITE 1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "102863445",
"telephone_number": "212-815-4910"
}
],
"practiceLocations": [
{
"address_1": "150 Flanagan Way",
"address_purpose": "LOCATION",
"city": "Secaucus",
"state": "NJ",
"postal_code": "070943445",
"country_code": "US",
"telephone_number": "201-319-0010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERSANO",
"first_name": "MONIQUE",
"credential": "DPT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2024-09-29",
"certification_date": "2024-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01589400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; 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.