Active NPI
Rached Baeira, PT
- Physical Therapist
- Clifton, NJ
National Provider Identifier
1952474967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00994000
- Practice address
- 58 Van Riper Ave
Clifton, NJ 07011-1326 - Phone
- (201) 532-0023
- NPI assigned
- Nov 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00994000 | NJ | Primary |
Addresses
Primary practice location
58 Van Riper Ave
Clifton, NJ 07011-1326
Mailing address
58 Van Riper Ave
Clifton, NJ 07011-1326
Phone (201) 532-0023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
318 21St Ave
Suite 103
Paterson, NJ 07501-3538
Phone (973) 782-5252
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Rehabilitation Center Professional Association | Current | Accepting new patients | |
| Wolke Chiropractic & Rehabilitation, PC | Physical Therapist | Past | Accepting new patients |
| Wolke Chiropractic & Rehabilitation, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
969 Paulison Ave
Ste 2
Clifton, NJ 07011
Phone (973) 928-3484
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- East Orange, NJ
- NPI 1881836500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952474967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 VAN RIPER AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111326",
"telephone_number": "201-532-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 VAN RIPER AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111326",
"telephone_number": "201-532-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAEIRA",
"first_name": "RACHED",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00994000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, 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.
- 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.