Individual provider Active NPI

Meryl Gail Bilecky, PTA

  • Physical Therapy Assistant
  • Fair Lawn, NJ
National Provider Identifier
1912440660
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QB00334200 Issued in NJ
Practice address
1120 Promenade Blvd
Fair Lawn, NJ 07410-2770
Phone
(201) 703-8820
NPI assigned
Nov 29, 2016
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QB00334200 NJ Primary
Physical Therapy Assistant 225200000X 66010246 NY

Addresses

Primary practice location

1120 Promenade Blvd
Fair Lawn, NJ 07410-2770

Mailing address

155 Dover GRN
Staten Island, NY 10312-1710
Phone (718) 938-3172

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
40QB00334200NJMDPhysical Therapy Assistant
66010246NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kessler Institute for Rehabilitation, Inc. Past 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": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1912440660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 DOVER GRN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121710",
            "telephone_number": "718-938-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 PROMENADE BLVD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102770",
            "telephone_number": "201-703-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILECKY",
        "first_name": "MERYL",
        "middle_name": "GAIL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00334200",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "66010246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.