North Jersey Professional Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00640100 Issued in NJ

Legal business name

NORTH JERSEY PROFESSIONAL REHABILITATION LLC

Practice address

122 North Church Rd
Lower Level
Sparta, NJ 07871-3234

Phone

(973) 940-8910

Fax

(973) 940-8918

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Hayden, M.A., PT, OCSNPI 1861599250

Title

Physical Therapist, Member

Phone

(973) 940-8910

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

North Jersey Pro Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Jersey Pro Rehab

  • Physical Therapy Clinic/Center
  • Sparta, NJ
  • NPI 1255640496
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Hayden, PT, OCS

  • Orthopedic Physical Therapist
  • Sparta, NJ
  • NPI 1861599250
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew Ronald Kern, DPT

  • Physical Therapist
  • Oak Ridge, NJ
  • NPI 1437408036
  Medicare reassignment Care Compare group NPD
• John Figarelli, DPT

  • Physical Therapist
  • Sparta, NJ
  • NPI 1801437850
  Medicare reassignment NPD
• Wendy Ann Ferrara, P.T.

  • Physical Therapist
  • Flanders, NJ
  • NPI 1881976413
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1992848329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 NORTH CHURCH RD",
            "address_2": "LOWER LEVEL",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713234",
            "telephone_number": "973-940-8910",
            "fax_number": "973-940-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 NORTH CHURCH RD",
            "address_2": "LOWER LEVEL",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713234",
            "telephone_number": "973-940-8910",
            "fax_number": "973-940-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY PROFESSIONAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, MEMBER",
        "authorized_official_telephone_number": "973-940-8910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A.,  PT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00640100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NJ TLC Home Cares
• Derek Robert Noonan, D.M.D.
• Gina M Noonan, M.A.
• North Atlantic Podiatry LLC
• North Jersey Pro Rehab
• North Jersey Scoliosis and Physical Therapy Specialists, LLC
• North Jersey Sports Medicine & Orthopedic Center, LLC
• North Jersey Sports Medicine & Orthopedic Center, LLC
• Northwest Jersey Ambulatory Surgery Center, PA
• Northwest Optometry Group, P.a.

• Physical Therapist in Sparta, NJ
• Providers in Sparta, 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 Oct 2, 2012; 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.