Active NPI
Andrew G Prokop III, B.S., M.S.P.T.
- Physical Therapist
- Barnegat, NJ
National Provider Identifier
1902027345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00681000
- Practice address
- 215 Biscayne Rd
Barnegat, NJ 08005-2616 - Phone
- (732) 330-6954
- NPI assigned
- May 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 40QA00681000 | NJ | Primary |
Addresses
Primary practice location
215 Biscayne Rd
Barnegat, NJ 08005-2616
Mailing address
215 Biscayne Rd
Barnegat, NJ 08005-2616
Phone (732) 330-6954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00681000 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902027345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 BISCAYNE RD",
"city": "BARNEGAT",
"state": "NJ",
"postal_code": "080052616",
"telephone_number": "732-330-6954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 BISCAYNE RD",
"city": "BARNEGAT",
"state": "NJ",
"postal_code": "080052616",
"telephone_number": "732-330-6954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROKOP",
"first_name": "ANDREW",
"middle_name": "G",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "B.S., M.S.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00681000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barnegat, NJ
- Angelica Mae Poblete Pimentel
- Mary Elise Pisarcik, NP
- Preferred Behavioral Health of New Jersey, Inc
- Preferred Behavioral Health of New Jersey, Inc.
- Preferred Behavioral Health of NJ, Inc
- Zoric Lennie Proskurovsky, M.D.
- Michael Ra, D.O., MPT
- Irina Raskin, FNP-C
- Tamilynn Reese, IDMT
- Relax Your Mind Services, LLC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.