David M. Feniger

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA03000 Issued in NJ

Legal business name

DAVID M. FENIGER

Doing business as

Broadway Physical Therapy

Practice address

1039 Avenue C
Bayonne, NJ 07002-3217

Phone

(201) 437-0313

Fax

(201) 437-3811

NPI assigned

Jun 11, 2007

Last updated

Sep 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Michael Feniger, P.T.NPI 1255382727

Title

Owner

Phone

(201) 437-0313

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• BROADWAY PHYSICAL THERAPY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Michael Feniger, P.T.

  • Physical Therapist
  • Bayonne, NJ
  • NPI 1255382727
  NPD (past) Authorized official

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1972706455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023217",
            "telephone_number": "201-437-0313",
            "fax_number": "201-437-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023217",
            "telephone_number": "201-437-0313",
            "fax_number": "201-437-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. FENIGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "FENIGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-437-0313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA03000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "235288",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET (CIGNA)",
            "identifier": "0040050",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS",
            "identifier": "123521",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET (OXFORD)",
            "identifier": "ANC840",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET (AETNA)",
            "identifier": "0040052",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROADWAY PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hristina Damjanovski, DMD
• James Alfred Danganan, PT,DPT
• Daniela de Sa LCSW LLC
• Monique A Dardzinski, D.M.D
• Davale Inc
• Barry Davis, O.D.
• Youssef Dawood
• Paolo J De Leon, COTA
• Daniela De Sa, LCSW
• John Thomas Dedousis Jr., MD

• Physical Therapist in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.