Individual provider Active NPI

Daniel Mayer, DPT

  • Physical Therapist
  • Oakland, NJ
National Provider Identifier
1902111883
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA01310000 Issued in NJ
Practice address
100 Bauer Drive
Oakland, NJ 07436
Phone
(201) 651-0121
NPI assigned
Aug 16, 2010
Last updated
Mar 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01310000 NJ
Physical Therapist 225100000X QA01310000 NJ Primary

Addresses

Primary practice location

100 Bauer Drive
Oakland, NJ 07436

Mailing address

27 Ronarm Dr
Mountain Lakes, NJ 07046-1422
Phone (973) 216-8917

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000278 NJ Practitioner - Physical Therapist in Private Practice 0648438523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mpower Physical Therapy LLCGroup PAC ID 4587904420, 2 clinicians

Practice addresses (Care Compare)

27 Ronarm Dr
Mountain Lakes, NJ 07046-1422
Phone (856) 628-6395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA01310000NJMDPhysical Therapist
40QA01310000NJMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Mpower Physical Therapy LLC Physical Therapist CurrentSince Mar 12, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1902111883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 RONARM DR",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461422",
            "telephone_number": "973-216-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BAUER DRIVE",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "07436",
            "telephone_number": "201-651-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "DANIEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-16",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01310000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA01310000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.