WYCKOFF PHYSICAL THERAPY CENTER, PC (NPI# 1508064627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508064627 |
| Entity Type | Organization |
| Organization Name | WYCKOFF PHYSICAL THERAPY CENTER, PC |
| Practice Address |
860 Wyckoff Ave A1a Mahwah NJ 07430-3186 |
| Practice Telephone | 2018919008 |
| Practice Fax Number | 2018919195 |
| Mailing Telephone | 2018919008 |
| Mailing Fax Number | 2018919195 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |
| Authorized Official Name | STEPHEN NEWMAN (PRESIDENT) |
| Authorized Official Telephone | 2018919008 |
| Authorized Official Credential | LPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA00499000 | NJ | Ambulatory Health Care Facilities |
| Street Address |
860 WYCKOFF AVE A1A |
| City | MAHWAH |
| State | NJ |
| Zip Code | 07430-3186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043312325 | John Jay Giannelli | Chiropractor | 860 Wyckoff Ave, Mahwah, NJ 07430-3186 | 2006-09-05 |
| 1992369847 | Michael John Mullin | Social Worker | 860 Wyckoff Ave, Mahwah, NJ 07430-3186 | 2019-04-25 |
| 1851895841 | Christine Marie Soderman | Counselor | 860 Wyckoff Ave, Mahwah, NJ 07430-3186 | 2018-03-22 |
| 1720588007 | Mary Ellen Rita Shea | Social Worker | 860 Wyckoff Ave, Mahwah, NJ 07430-3186 | 2018-02-13 |
| 1477075976 | Danielle Marie Albanese | Social Worker | 860 Wyckoff Ave, Mahwah, NJ 07430-3186 | 2017-07-17 |
| 1881124857 | Barbara Jill Krug | Counselor | 860 Wyckoff Ave, Mahwah, NJ 07430-3186 | 2017-06-13 |
| 1821524273 | Cristina A Fontana | Counselor | 860 Wyckoff Ave, Mahwah, NJ 07430-3186 | 2017-05-04 |
| 1023544780 | Larissa Mae Saveri | Counselor | 860 Wyckoff Ave, Mahwah, NJ 07430-3186 | 2017-05-02 |
| 1578963690 | Eric T Horbatuck | Physical Therapy Assistant | 860 Wyckoff Ave, Unit 1 Nw, Mahwah, NJ 07430-3186 | 2014-08-26 |
| 1568876233 | Integrated Physical Therapy LLC | Clinic/Center | 860 Wyckoff Ave, Unit 1 Nw, Mahwah, NJ 07430-3186 | 2014-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158529 | Retreat & Recovery At Ramapo Valley | Psychiatric Hospital | 1071 Ramapo Valley Rd, Mahwah, NJ 07430 | 2020-06-12 |
| 1689195984 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 94 Ramapo Valley Road, Mahwah, NJ 07430 | 2017-06-28 |
| 1073995304 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 1019 Macarthur Blvd, Excel Orthopedic Rehabilitation, Mahwah, NJ 07430 | 2015-06-23 |
| 1467869255 | Song Woo Seo | Podiatrist | 400 Franklin Tpke # 202, Mahwah, NJ 07430 | 2014-07-14 |
| 1609168384 | Tides Psychotherapy Services, LLC | Social Worker | 900 Darlington Avenue, Mahwah, NJ 07430 | 2011-05-12 |
| 1679713119 | Gloria Leder | Social Worker | 574 Laramine Lane, Mahwah, NJ 07430 | 2009-02-24 |
| 1518113711 | Carolyn Demaria | Pediatrics | 367 Forest Rd, Mahwah, NJ 07430 | 2008-08-07 |
| 1982850186 | Frank Demaria Jr. | Pediatrics | 367 Forest Rd., Mahawah, NJ 07430 | 2008-08-07 |
| 1992917488 | Leo Victor Russ | Dentist | 265 Westervelt Lane, Mahwah, NJ 07430 | 2007-05-04 |
| 1487729521 | Richard A Sabella | Dentist | 156 Ramapo Valley Road, Mahwah, NJ 07430 | 2006-11-22 |
| Find all providers in zip 07430 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942550041 | Millennium Physical Therapy IIi | Clinic/Center | 300 Route 17, Suite G, Mahwah, NJ 07430-2141 | 2012-09-15 |
| 1568876233 | Integrated Physical Therapy LLC | Clinic/Center | 860 Wyckoff Ave, Unit 1 Nw, Mahwah, NJ 07430-3186 | 2014-06-20 |
| 1326246463 | Stephen Newman | Clinic/Center | 860 Wyckoff Ave, A1a, Mahwah, NJ 07430-3186 | 2007-07-10 |
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| 1467052209 | Maximum Health Physical Therapy of Long Valley, PC | Clinic/Center | 62 E Mill Rd Ste A2, Long Valley, NJ 07853-3118 | 2020-10-30 |
| 1225637861 | Mvmt Performance LLC | Clinic/Center | 133 Eayrestown Rd, Southampton, NJ 08088-9122 | 2020-10-24 |
| 1033718473 | Orthostrength Physical Therapy | Clinic/Center | 8 Eastman St Ste 3, Cranford, NJ 07016-2291 | 2020-10-17 |
| 1356949317 | Coast Physio LLC | Clinic/Center | 140 Metedeconk Rd, Brick, NJ 08723-5442 | 2020-10-13 |
| 1639777964 | Trinity Rehab Somerset Pa | Clinic/Center | 1130 Broad St, Shrewsbury, NJ 07702-4308 | 2020-10-09 |
| 1649878976 | Trinity Rehab Somerset Pa | Clinic/Center | 734 Morris Tpke, Short Hills, NJ 07078-2614 | 2020-10-09 |
| 1336747666 | Trinity Rehab Somerset Pa | Clinic/Center | 910 Hamburg Tpke, Wayne, NJ 07470-3225 | 2020-10-09 |
| 1013514306 | Shoreside In Home Therapy | Clinic/Center | 213 19th Ave, Belmar, NJ 07719-2655 | 2020-10-08 |
| 1164039434 | Cano Physical Therapy | Clinic/Center | 1615 80th St, North Bergen, NJ 07047-4165 | 2020-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.