Individual provider Active NPI

Joseph Michael Cangialosi, OTD, OTR/L

  • Occupational Therapist
  • Totowa, NJ
National Provider Identifier
1861148686
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01047900 Issued in NJ
Practice address
351 Union Blvd
Totowa, NJ 07512-2556
Phone
(862) 239-1768
NPI assigned
Mar 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01047900 NJ Primary

Addresses

Primary practice location

351 Union Blvd
Totowa, NJ 07512-2556

Mailing address

11 Long Acres Rd
Fairfield, NJ 07004-1213
Phone (973) 897-4802

Other practice location 1

1622 Parker Ave Ste 2B
Fort Lee, NJ 07024-6927
Phone (201) 592-0800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220314000641 NJ Practitioner - Occupational Therapist in Private Practice 1254726037 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katalyst Performance and Rehabilitation LLCGroup PAC ID 3173932837, 2 clinicians

Practice addresses (Care Compare)

321 Hamburg Tpke
Wayne, NJ 07470-2120
Phone (862) 203-1570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Spine and Sports Care of Fort Lee PC CurrentSince Mar 22, 2022 Accepting new patients
Katalyst Performance and Rehabilitation LLC Occupational Therapist CurrentSince Feb 5, 2024 Accepting new patients
Elite Spine and Sports Care of Totowa Occupational Therapist CurrentSince Mar 2, 2022 Accepting new patients

Locations

351 Union Blvd
Totowa, NJ 07512
Phone (201) 563-7095

321 Hamburg Tpke
Wayne, NJ 07470
Phone (862) 203-1570

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.

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1861148686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LONG ACRES RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041213",
            "telephone_number": "973-897-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122556",
            "telephone_number": "862-239-1768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1622 Parker Ave Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Fort Lee",
            "state": "NJ",
            "postal_code": "070246927",
            "country_code": "US",
            "telephone_number": "201-592-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANGIALOSI",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01047900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.