Nicholas Mancini
Individual provider Active NPI Physical Therapist · Manchester, NJ
NPI 1992374490 · NPPES record last updated Jun 21, 2021
Key facts
- NPI
- 1992374490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 2915 Ridgeway Rd
Manchester, NJ 08759-4755 - Phone
- (732) 657-7900
- NPI assigned
- Jun 21, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Network Inc
Attain Physical Therapy
Practice addresses (Care Compare)
711 Route 10
Suite 200
Randolph, NJ 07869-2030
Phone (973) 584-3191
766 Broad St
Shrewsbury, NJ 07702-4203
Phone (855) 428-8246
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210810001295 | NJ | Practitioner - Physical Therapist in Private Practice | 4789088923 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Network Inc. | Physical Therapist | Current |
Accepting new patients |
| Attain Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| Eastpointe Integrated Healthcare LLC | Physical Therapist | Current |
Accepting new patients |
Locations
2373 State Route 36
Atlantic Hlds, NJ 07716
Phone (732) 872-6595
1275 Bloomfield Ave
Ste 60
Fairfield, NJ 07004
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905
2915 Ridgeway Rd
Manchester, NJ 08759
Phone (732) 657-7900
711 Route 10 E
Ste 200
Randolph, NJ 07869
Phone (973) 584-3191
503 US Highway 202
Unit 3
Raritan, NJ 08869
Phone (908) 800-7870
19 Mule Rd
Toms River, NJ 08755
Phone (732) 240-1400
1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
2915 Ridgeway Rd
Manchester, NJ 08759-4755
Mailing address
PO Box 416495
Boston, MA 02241-6495
Phone (914) 294-4050
Other providers in Manchester, NJ
- Donna Marie Malloy
- Manchester Brick Vision Center 2
- Manchester Ped Day HLTH SVCS
- Manchester Pediatric Medical Day Care
- Manchester Township
- Rosalina McCarthy
- Kateryna Meskin
- Mid Atlantic Geriatric Associates-Ocean, P.a
- Hany Mikhail
- Michael Thomas Mundry I
All providers in Manchester, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.