VANGUARD PHYSICAL THERAPY (NPI# 1568855948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568855948 |
| Entity Type | Organization |
| Organization Name | VANGUARD PHYSICAL THERAPY |
| Practice Address |
113 W Essex St Suite 203 Maywood NJ 07607-1020 |
| Practice Telephone | 2018456030 |
| Practice Fax Number | 2018456040 |
| Mailing Telephone | 2018456030 |
| Mailing Fax Number | 2018456040 |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |
| Authorized Official Name | MR. MICHAEL C IMPLICITO (OWNER) |
| Authorized Official Telephone | 2018456030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649384397 | Vanguard Physical Therapy | Physical Therapist | 2318 50th St, Lubbock, TX 79412-2502 | 2006-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | VANGUARD PHYSICAL THERAPY, P.C. | 520 76th St, 2nd Fl, Brooklyn, Ny 11209 |
| Street Address |
113 W ESSEX ST SUITE 203 |
| City | MAYWOOD |
| State | NJ |
| Zip Code | 07607-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932190386 | Stephen R Lindholm | Orthopaedic Surgery | 113 W Essex St, Suite 201, Maywood, NJ 07607-1023 | 2005-11-03 |
| 1841858024 | Vanguard Asc, LLC | Clinic/Center | 113 W Essex St, Maywood, NJ 07607-1023 | 2019-06-03 |
| 1336682202 | Richard Kim M D LLC | Plastic Surgery | 113 W Essex St, Suite 203, Maywood, NJ 07607-1023 | 2016-11-28 |
| 1003367558 | Robert Marriott Medical Corp | Surgery | 113 W Essex St, Maywood, NJ 07607-1023 | 2016-10-19 |
| 1154877678 | Ankle & Foot Institute PC | Orthopaedic Surgery | 113 W Essex St, Suite 203, Maywood, NJ 07607-1023 | 2016-08-26 |
| 1609236744 | Carleen Implicito | Acupuncturist | 113 W Essex St, Suite 203, Maywood, NJ 07607-1023 | 2016-03-02 |
| 1215311022 | Aesthetic and Reconstructive Hand Surgeons LLC | Plastic Surgery | 113 W Essex St, Suite 202, Maywood, NJ 07607-1020 | 2015-07-13 |
| 1396164653 | Lighthouse Anesthesia Partners LLC | Anesthesiology | 113 W Essex St, Ste 201, Maywood, NJ 07607-1020 | 2014-04-15 |
| 1609205434 | Maywood Anesthesia Consultants LLC | Specialist | 113 W Essex St, Suite 201, Maywood, NJ 07607-1020 | 2013-11-02 |
| 1679900302 | Julie M Keller, Md, LLC | Orthopaedic Surgery | 113 W Essex St, Suite 201, Maywood, NJ 07607-1020 | 2013-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174057756 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Cumming Avenue, Maywood, NJ 07607 | 2017-04-20 |
| 1689075475 | Fitness & Wellness of Hackensack | Dietitian, Registered | 137 Route 17 North, Maywood, NJ 07607 | 2014-09-11 |
| 1700285707 | Yun-hyeang Stella Jang | Social Worker | 87 Route 17, Suite 1-118, Maywood, NJ 07607 | 2014-08-15 |
| 1447659354 | Bonnie Lyn Freirich | Social Worker | 87 Route 17 North, Maywood, NJ 07607 | 2014-08-15 |
| 1720344351 | Nurse Practitioner Professional Services Inc | Nurse Practitioner | 100 West Magnolia Avenue, Maywood Center for Health & Rehabilitation, Maywood, NJ 07607 | 2012-04-09 |
| 1689960676 | Douglas Jay Saphier | Psychiatry & Neurology | 87 Rte 17 N, Maywood, NJ 07607 | 2011-06-28 |
| 1275764581 | Nayana Parekh | Internal Medicine | 113 W Essex St Ste 204, Maywood, NJ 07607 | 2009-08-04 |
| 1205078946 | Total Physical Therapy, LLC. | Physical Therapist | 25 E. Spring Valley Ave, Suite 190, Maywood, NJ 07607 | 2009-03-26 |
| 1619141918 | Vincent C Okabekwa | Psychiatry & Neurology | 87 Route 17 N, Maywood, NJ 07607 | 2008-04-17 |
| 1710045588 | Harold Hugh Gardy | Dentist | 61 W Pleasant Drive, Maywood, NJ 07607 | 2006-12-05 |
| Find all providers in zip 07607 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121810 | Core Care Plus Rehab LLC | Clinic/Center | 255 W Spring Valley Ave Ste 109, Maywood, NJ 07607-1444 | 2020-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336303 | 180degree Therapy | Clinic/Center | 52 Hillcrest Dr, Wayne, NJ 07470-5729 | 2020-11-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.