Individual provider Active NPI

Ryan Delgado

  • Physical Therapist
  • Bridgewater, NJ
National Provider Identifier
1972103166
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01939700 Issued in NJ
Practice address
872 E Main St
Bridgewater, NJ 08807-3395
Phone
(877) 407-3422
Fax
(877) 407-4329
NPI assigned
Oct 28, 2020
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportscare of America, PC 132 clinicians

Practice addresses (Care Compare)

33 W 8TH St
Bayonne, NJ 07002-1287
Phone (201) 858-0550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201106000051 NJ Practitioner - Physical Therapist in Private Practice 3971913765 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Jan 13, 2021 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Jan 13, 2021 Accepting new patients

Locations

33 W 8th St
Bayonne, NJ 07002
Phone (201) 858-0550

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

7 Carnegie Plz
Cherry Hill, NJ 08003

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

530 Lakehurst Rd
Ste 202204
Toms River, NJ 08755
Phone (732) 349-1201

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01939700 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

872 E Main St
Bridgewater, NJ 08807-3395

Mailing address

7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2020.

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1972103166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CARNEGIE PLZ",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031000",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 E MAIN ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073395",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01939700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.