Individual provider Active NPI

Fady Abdelfady Youssef, DPT

  • Physical Therapist
  • Parsippany, NJ
National Provider Identifier
1912476193
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01830800 Issued in NJ
Practice address
3799 Route 46 Ste 110
Parsippany, NJ 07054-1060
Phone
(973) 265-8621
Fax
(862) 701-1837
NPI assigned
Nov 17, 2018
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 40QA01830800 NJ Primary

Addresses

Primary practice location

3799 Route 46 Ste 110
Parsippany, NJ 07054-1060

Mailing address

36 Dallenbach LN
East Brunswick, NJ 08816-5684
Phone (732) 485-0528

Other practice location 1

36 Dallenbach Ln
East Brunswick, NJ 08816-5684
Phone (732) 485-0528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191204000691 NJ Practitioner - Physical Therapist in Private Practice 1153754270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiopros Performance and Rehabilitation LLCGroup PAC ID 2365820503, 6 clinicians

Practice addresses (Care Compare)

3799 Route 46
Suite 110
Parsippany, NJ 07054-1060
Phone (973) 265-8621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01830800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Sports Medicine LLC CurrentSince Dec 22, 2024 Accepting new patients
Physiopros Performance and Rehabilitation LLC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Kodiak Healthcare Inc Physical Therapist CurrentSince Jun 22, 2021 Accepting new patients
Physiopros Physical Therapy & Wellness Current Accepting new patients
Liberty Physical Therapy PC Physical Therapist CurrentSince Feb 2, 2022 Accepting new patients
Strength Physiotherapy LLC Physical Therapist CurrentSince Oct 13, 2024 Accepting new patients
Farag Physical Therapy LLC Physical Therapist PastSince Jan 21, 2024 Accepting new patients
M & D Therapy Services LLC Physical Therapist PastSince Mar 1, 2024 Accepting new patients

Locations

557 Cranbury Rd
Ste 6
East Brunswick, NJ 08816
Phone (732) 698-2800

702 N Beers St
Ste 3
Holmdel, NJ 07733
Phone (732) 724-3720

115 Christopher Columbus Dr
Ste 300
Jersey City, NJ 07302
Phone (201) 366-1115

3799 US Highway 46
Ste 110
Parsippany, NJ 07054
Phone (724) 381-1313

Organizations & group practices 8

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": "1542412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1912476193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 DALLENBACH LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165684",
            "telephone_number": "732-485-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3799 ROUTE 46 STE 110",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541060",
            "telephone_number": "973-265-8621",
            "fax_number": "862-701-1837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Dallenbach Ln",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088165684",
            "country_code": "US",
            "telephone_number": "732-485-0528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "FADY",
        "middle_name": "ABDELFADY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-17",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01830800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.