Individual provider Active NPI

Joan D. Timbang, PT

  • Physical Therapist
  • Englewood, NJ
National Provider Identifier
1972688802
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00999700 Issued in NJ
Practice address
155 W Hudson Ave # 175
Englewood, NJ 07631-1609
Phone
(201) 871-8882
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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 40QA00999700 NJ Primary

Addresses

Primary practice location

155 W Hudson Ave # 175
Englewood, NJ 07631-1609

Mailing address

67 S Franklin Ave
Bergenfield, NJ 07621-2015
Phone (201) 310-9785

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070503000384 NJ Practitioner - Physical Therapist in Private Practice 5698871937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Way Rehab ServicesGroup PAC ID 2567875776, 8 clinicians

Practice addresses (Care Compare)

Bergenfield, NJ 07621
Phone (201) 310-9785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022637NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Post at Home LLC Current Accepting new patients
Way Rehab Services Physical Therapist CurrentSince Dec 14, 2020 Accepting new patients
Bergen Spine & Rehabilitation, LLC Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients
Way Rehab Services Current Accepting new patients
New York Physical and Occupational Therapy PLLC Physical Therapist Past Accepting new patients
Medical Associates of Englewood, PC Past Accepting new patients

Locations

136 N Washington Ave
Ste 103
Bergenfield, NJ 07621
Phone (201) 387-2800

Organizations & group practices 6

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1972688802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 S FRANKLIN AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212015",
            "telephone_number": "201-310-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W HUDSON AVE # 175",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311609",
            "telephone_number": "201-871-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMBANG",
        "first_name": "JOAN",
        "middle_name": "D.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00999700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.