Dave Consunji Marcon, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01074500 Issued in NJ

Practice address

301 Cherry LN
Teaneck, NJ 07666-3413

Phone

(201) 674-0737

Fax

(201) 357-2318

NPI assigned

Jun 3, 2007

Last updated

Apr 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marshall Chiropractic, L.L.CGroup PAC ID 4880601384, 2 clinicians

Peak Point Physical Therapy PCGroup PAC ID 4880043173, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Marshall Chiropractic, L.L.C

  • Chiropractor
  • Clifton, NJ
  • NPI 1023297645
  Medicare reassignment Care Compare group NPD
• Peak Point Physical Therapy PC

  • Physical Therapist
  • Passaic, NJ
  • NPI 1588342414
  Medicare reassignment Care Compare group NPD
• Therapy Care P.a.

  • Clinic/Center
  • Teaneck, NJ
  • NPI 1245623388
  NPD Authorized official
• Therapy Care P.a.

  • Physical Therapy Clinic/Center
  • Teaneck, NJ
  • NPI 1962738609
  NPD Authorized official
• Flow Home Care Physical Therapy LLC

  • Physical Therapist
  • Oakland, NJ
  • NPI 1881574390
  Medicare reassignment
• Optimal Form & Function, LLC

  • Physical Therapist
  • Teaneck, NJ
  • NPI 1194402180
  NPD (past)
• Optimal Form & Function, LLC

  • Occupational Therapist
  • Teaneck, NJ
  • NPI 1790592517
  NPD (past)
• PMK Rehab,LLC

  • Rehabilitation Hospital Unit
  • Edison, NJ
  • NPI 1376721761

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1932301843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CHERRY LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663413",
            "telephone_number": "201-647-9083",
            "fax_number": "201-357-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CHERRY LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663413",
            "telephone_number": "201-674-0737",
            "fax_number": "201-357-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCON",
        "first_name": "DAVE",
        "middle_name": "CONSUNJI",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-03",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01074500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Mandeville-Kamins, LCSW
• Jason Manizza, LMHC
• Gia Manno
• Manor Shoes Inc.
• Farshad Mansouri, MD
• Ralph E Marcus, M.D.
• Robert S. Marcus, DPM
• Edward Mardakhaev, MD
• Jonathan Howard Margolin, DPM
• Melissa Marin Soriano, ACNPC-AG

• Physical Therapist in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.