Individual provider Active NPI

Kim Pozharsky

  • Physical Therapist
  • Saddle Brook, NJ
National Provider Identifier
1912023201
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022300 Issued in NY
Practice address
479 N Midland Ave
Saddle Brook, NJ 07663-5597
Phone
(201) 797-8830
Fax
(201) 797-8862
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

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 022300 NY Primary

Addresses

Primary practice location

479 N Midland Ave
Saddle Brook, NJ 07663-5597

Mailing address

479 N Midland Ave
Saddle Brook, NJ 07663-5597
Phone (201) 797-8830

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

State licenses

LicenseStateTypeSpecialty
022300NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Solutions Inc Physical Therapist Current Accepting new patients
Hudson Thera Care Corp Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912023201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 N MIDLAND AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635597",
            "telephone_number": "201-797-8830",
            "fax_number": "201-797-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 N MIDLAND AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635597",
            "telephone_number": "201-797-8830",
            "fax_number": "201-797-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZHARSKY",
        "first_name": "KIM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.