SPORTS MEDICINE CENTER OF BERGEN, PA (NPI# 1073995304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073995304 |
| Entity Type | Organization |
| Organization Name | SPORTS MEDICINE CENTER OF BERGEN, PA |
| Other Organization Name | EXCEL ORTHOPEDIC REHABILITATION |
| Practice Address |
1019 Macarthur Blvd Excel Orthopedic Rehabilitation Mahwah NJ 07430 |
| Mailing Address |
605 Main Street Excel Orthopedic Rehabilitation Hackensack NJ 07601 |
| Practice Telephone | 2018188711 |
| Practice Fax Number | 2018188744 |
| Mailing Telephone | 2014880488 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2016-05-24 |
| Authorized Official Name | MR. GARY FLINK (VICE PRESIDENT) |
| Authorized Official Telephone | 2014880488 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | Y |
| Parent Organization Name | SPORTS PHYSICAL THERAPY CENTER OF BERGEN, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Excel Orthopedic Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158758 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 555 S Livingston Ave, Livingston, NJ 07039-5410 | 2019-01-14 |
| 1487124368 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 410 Springfield Ave, Berkeley Heights, NJ 07922-1107 | 2018-12-04 |
| 1346730645 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 33 Union Pl, Summit, NJ 07901-3650 | 2018-05-14 |
| 1235644535 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 333 15th Street, Suite 3b, Hoboken, NJ 07030 | 2017-12-08 |
| 1477091270 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 216 Old Tappan Road, Suite 56-58d, Old Tappan, NJ 07675 | 2017-02-01 |
| 1801134804 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 15 S Kinderkamack Rd, Montvale, NJ 07645-2112 | 2013-01-25 |
| 1366734535 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 301 Route 17, Rutherford, NJ 07070-2575 | 2011-05-06 |
| 1124310388 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 32 Piermont Rd, Cresskill, NJ 07626-2148 | 2011-05-06 |
| 1154595197 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 136 Hopper Ave., Waldwick, NJ 07463 | 2008-04-22 |
| 1194364638 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 201 Marin Blvd, Jersey City, NJ 07302-6491 | 2020-01-02 |
| Street Address |
1019 MACARTHUR BLVD EXCEL ORTHOPEDIC REHABILITATION |
| City | MAHWAH |
| State | NJ |
| Zip Code | 07430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346899242 | Jeremy Nardiello | Physical Therapist | 1019 Macarthur Blvd, Mahwah, NJ 07430-3612 | 2019-09-04 |
| 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 |
| 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 |
| 1720177900 | Alan S Zwillinger | Dentist | 400 Franklin Trpe, Suite 206, Mahwah, NJ 07430 | 2006-10-12 |
| Find all providers in zip 07430 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561556 | Value Health Physical Therapy LLC | Physical Therapist | 39 Black Oak Ln, Mahwah, NJ 07430-1349 | 2020-09-05 |
| 1033693296 | Danielle Rose Beatini | Physical Therapist | 400 Franklin Tpke Ste 200, Mahwah, NJ 07430-3518 | 2018-09-23 |
| 1770980674 | Jennifer Wenger | Physical Therapist | 49 Franklin St, Mahwah, NJ 07430-3112 | 2014-11-21 |
| 1629488127 | Mahwah Health Services | Physical Therapist | 195 Franklin Tpke, Mahwah, NJ 07430-1339 | 2014-05-06 |
| 1932524238 | Aldo Moraleta | Physical Therapist | 70 Petersen Pl, Mahwah, NJ 07430-2019 | 2014-02-23 |
| 1700123619 | Jeffrey Rose | Physical Therapist | 300 Rte 17, Mahwah, NJ 07430-2141 | 2013-01-11 |
| 1376872846 | Siovanna Rosas Boyle | Physical Therapist | 195 Franklin Tpke Ste 9, Mahwah, NJ 07430-1364 | 2009-12-13 |
| 1942389739 | Paul Artale | Physical Therapist | 2507 Hemingway Ln, Mahwah, NJ 07430-2329 | 2006-11-03 |
| 1003835158 | Paul Layugan Balisi | Physical Therapist | 180 Franklin Tpke Ste 9, Mahwah, NJ 07430-1364 | 2006-07-19 |
| 1346899242 | Jeremy Nardiello | Physical Therapist | 1019 Macarthur Blvd, Mahwah, NJ 07430-3612 | 2019-09-04 |
| Find all providers in MAHWAH | ||||
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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.