Gregory R. Zaccone, PT, DPT, MSPT, SCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01107700 Issued in NJ

Practice address

184 Central Ave
1St Floor
Old Tappan, NJ 07675-7360

Phone

(201) 937-3600

Fax

(201) 731-5192

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ipta Clinical, LLCGroup PAC ID 0749456119, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ipta Clinical, LLC

  • Physical Therapy Clinic/Center
  • Medford, NJ
  • NPI 1760764484

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Spectrum Physical Therapy & Athletic Training, LLC

  • Physical Therapist
  • Edgewater, NJ
  • NPI 1942385513
  Medicare reassignment NPD Authorized official
• 3 Dimensional Physical Therapy - Pelvic Health LLC

  • Physical Therapist
  • Medford, NJ
  • NPI 1275348500
  NPD (past)
• Spectrum Physical Therapy & Athletic Training, LLC

  • Physical Therapist
  • Old Tappan, NJ
  • NPI 1558860809
  NPD (past)
• Spectrum Physical Therapy and Athletic Training LLC

  • Sports Physical Therapist
  • Edgewater, NJ
  • NPI 1417140906
  NPD (past)
• The Center for Orthotic & Prosthetics Services

  • Prosthetist
  • Union, NJ
  • NPI 1114989365
  NPD (past)
• Twin Boro Physical Therapy Associates PA

  • Physical Therapist
  • Clark, NJ
  • NPI 1811937527
  NPD (past)
• Twin Boro Physical Therapy Associates, PA

  • Occupational Therapist
  • Newark, NJ
  • NPI 1659874857
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1861577421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 RIVER RD FL 1",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201456",
            "telephone_number": "201-937-3600",
            "fax_number": "201-731-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CENTRAL AVE",
            "address_2": "1ST FLOOR",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757360",
            "telephone_number": "201-937-3600",
            "fax_number": "201-731-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCONE",
        "first_name": "GREGORY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MSPT, SCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01107700",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "3681077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS",
            "identifier": "7284586",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2411848",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC/BS",
            "identifier": "800120716",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLANS",
            "identifier": "1268571",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Lewis Vitti, M.D.
• Julie A Vlakic, ED., M.
• Carl Paul Waltke, D.M.D.
• Kristina Marie Waters-Depietro
• Well-America Corp

• Physical Therapist in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.