Rodolfo Chua Jr., PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA010597 Issued in NJ

Practice address

575 High Mountain Rd
North Haledon, NJ 07508-2662

Phone

(973) 949-3657

Fax

(973) 949-3658

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Health and Motion Physical Therapy

  • Physical Therapist
  • North Haledon, NJ
  • NPI 1750925723
  Medicare reassignment NPD Authorized official
• Madison Spine and Physicaltherapy, Inc.

  • Physical Therapist
  • New Milford, NJ
  • NPI 1063591659
  NPD (past)
• Madison Spine Limited Partnership

  • Physical Therapist
  • New Milford, NJ
  • NPI 1689940900

  Sports

  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1952408296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 SPENCER DR",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812925",
            "telephone_number": "201-757-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HIGH MOUNTAIN RD",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082662",
            "telephone_number": "973-949-3657",
            "fax_number": "973-949-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "RODOLFO",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NJ",
            "license": "40QA010597",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA010597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosario Calero-Bai
• Vanessa Isabel Campo, LPC
• Patrick Frank Capizzi, DC
• Hailey Carlino
• Carmen John Occhiuzzi DC, L.L.C.
• Clover Hill Senior Living, LLC
• Kamryn Convertino, RDN
• Susan J Creange, PH.D
• Risa D'Angelo
• Ken Davis, DMD

• Orthopedic Physical Therapist in North Haledon, NJ
• Providers in North Haledon, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.