Individual provider Active NPI

Maria F Bajamunde, PT

  • Physical Therapist
  • Midland Park, NJ
National Provider Identifier
1962772210
Registry record updated Aug 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01429300 Issued in NJ
Practice address
33 Central Ave
Midland Park, NJ 07432
Phone
(201) 819-1081
Fax
(201) 221-7844
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2018

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 40QA01429300 NJ Primary

Addresses

Primary practice location

33 Central Ave
Midland Park, NJ 07432

Mailing address

33 Central Ave
Midland Park, NJ 07432-1401
Phone (732) 766-5511

Other identifiers 1

IdentifierTypeStateIssuer
40QA01429300OtherNJSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120503000578 NJ Practitioner - Physical Therapist in Private Practice 4486816626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medwell LLCGroup PAC ID 9931189776, 11 clinicians

Practice addresses (Care Compare)

33 Central Ave
Midland Park, NJ 07432-1401
Phone (201) 819-1081

Merit-based Incentive Payment System (MIPS)

Final score
78.07 of 100Reported as group
Quality
100
Improvement activities
40
Cost
26.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01429300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medwell LLC Physical Therapist CurrentSince Jan 5, 2012 Accepting new patients

Locations

33 Central Ave
Midland Park, NJ 07432
Phone (201) 447-9022

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535155200000",
    "number": "1962772210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CENTRAL AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321401",
            "telephone_number": "732-766-5511",
            "fax_number": "201-221-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CENTRAL AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "07432",
            "telephone_number": "201-819-1081",
            "fax_number": "201-221-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJAMUNDE",
        "first_name": "MARIA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2018-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01429300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "40QA01429300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; 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.