Organization Active NPI

Pinnacle Homecare Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Bergenfield, NJ
National Provider Identifier
1982488441
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PINNACLE HOMECARE REHABILITATION LLC
Practice address
15 Esser PL
Bergenfield, NJ 07621-1809
Phone
(347) 694-0127
NPI assigned
Aug 24, 2023
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Dr. Genelyn Mae Pinera Sadol, PTNPI 1427317171
Title
DPT
Phone
(347) 694-0127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

15 Esser PL
Bergenfield, NJ 07621-1809

Mailing address

15 Esser PL
Bergenfield, NJ 07621-1809
Phone (347) 694-0127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231102003036 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648626234 Receives reassigned benefits from 3 practitioners
Practice locations: Bergenfield, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1982488441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ESSER PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211809",
            "telephone_number": "347-694-0127",
            "fax_number": "201-338-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ESSER PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211809",
            "telephone_number": "347-694-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HOMECARE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "SADOL",
        "authorized_official_first_name": "GENELYN MAE",
        "authorized_official_middle_name": "PINERA",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "347-694-0127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.