Individual provider Active NPI

Theresa Paz Ong, DPT

  • Physical Therapist
  • Clifton, NJ
National Provider Identifier
1902989726
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01127300 Issued in NJ
Practice address
1358 Broad St
Clifton, NJ 07013-4222
Phone
(973) 249-0249
NPI assigned
Oct 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01127300 NJ Primary

Addresses

Primary practice location

1358 Broad St
Clifton, NJ 07013-4222

Mailing address

14 Dartmouth Rd
West Orange, NJ 07052-3826

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110516000423 NJ Practitioner - Physical Therapist in Private Practice 5890863310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomfield Total Health CenterGroup PAC ID 1850387010, 5 clinicians

Practice addresses (Care Compare)

1129 Broad Sreet
Bloomfield, NJ 07003-2918
Phone (973) 338-3620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01127300NJMDPhysical Therapist
029443NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomfield Total Health Center Physical Therapist CurrentSince Sep 1, 2018 Accepting new patients
Kessler Institute for Rehabilitation, Inc. Past Accepting new patients

Locations

1129 Broad St
Bloomfield, NJ 07003
Phone (973) 338-3620

Organizations & group practices 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902989726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DARTMOUTH RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134222",
            "telephone_number": "973-249-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONG",
        "first_name": "THERESA",
        "middle_name": "PAZ",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01127300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

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.
  • 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.