Bergen County Physical Therapy LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BERGEN COUNTY PHYSICAL THERAPY LLC

Practice address

184 Central Ave
Suite LL
Old Tappan, NJ 07675-7360

Phone

(914) 376-6100

NPI assigned

Jul 15, 2016

Organization subpart

No

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

Authorized official

Name

Melissa Nieli

Title

Billing Manager

Phone

(914) 376-6100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1952754871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 CENTRAL AVE",
            "address_2": "SUITE LL",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CENTRAL AVE",
            "address_2": "SUITE LL",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757360",
            "telephone_number": "914-376-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN COUNTY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "NIELI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "914-376-6100"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 201 Oral Surgery
• Align Natural Physical Therapy LLC
• Andrea M. Mattia DDS LLC
• Michael Anthony Arocho Jr., DPT
• Christine Bae, LAC
• Bruce S Boltuch, PHD
• Colleen Breslin, DPT
• James Edward Buirkle, MD
• Karen Canavan, NNP-BC
• Steven Capitani, PT

• Physical Medicine & Rehabilitation Physician in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.