PHYLLIS FLANCBAUM (NPI# 1295047041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295047041 |
| Entity Type | Individual |
| Full Name | PHYLLIS FLANCBAUM |
| Credential | PT, LNHA |
| Practice Address |
100 Kinderkamack Rd Emerson NJ 07630-1828 |
| Mailing Address |
4-20 Dorothy St Fair Lawn NJ 07410-4946 |
| Practice Telephone | 2012653700 |
| Practice Fax Number | 2012652700 |
| Mailing Telephone | 2016943851 |
| Mailing Fax Number | 2017943892 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
40QA003097 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
100 KINDERKAMACK RD |
| City | EMERSON |
| State | NJ |
| Zip Code | 07630-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578550828 | Emerson Convalescent Center Inc | Skilled Nursing Facility | 100 Kinderkamack Rd, Emerson, NJ 07630-1828 | 2005-10-03 |
| 1255785127 | Henri Douvry | Physical Therapy Assistant | 100 Kinderkamack Rd, Emerson, NJ 07630-1828 | 2016-04-18 |
| 1073947321 | Ajay S Mampilly | Physical Therapy Assistant | 100 Kinderkamack Rd, Emerson, NJ 07630-1828 | 2013-08-22 |
| 1861734113 | Ashley M. Caprio | Occupational Therapist | 100 Kinderkamack Rd, Emerson, NJ 07630-1828 | 2013-03-25 |
| 1154679421 | Colleen Marie Mcguire | Occupational Therapy Assistant | 100 Kinderkamack Rd, Emerson, NJ 07630-1828 | 2012-08-16 |
| 1912298852 | Anita Joy | Occupational Therapist | 100 Kinderkamack Rd, Emerson, NJ 07630-1828 | 2011-04-26 |
| 1912296930 | Phyllis Robin Simon | Occupational Therapist | 100 Kinderkamack Rd, Emerson, NJ 07630-1828 | 2011-03-30 |
| 1609174226 | Janet Theresa Kilkenny | Occupational Therapy Assistant | 100 Kinderkamack Rd, Rehab Department, Emerson, NJ 07630-1828 | 2011-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986208 | Serene Mind, LLC | Counselor | 32 Lincoln Blvd, Emerson, NJ 07630 | 2020-06-09 |
| 1215451943 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 2a, Emerson, NJ 07630 | 2017-08-03 |
| 1760725808 | Affinity Home Care Services | Home Health | 16 Chestnut Avenue, Suite 302 W, Emerson, NJ 07630 | 2013-03-27 |
| 1982768800 | Effie Sofos | Dentist | 309 Kinderkamack Rd, Emerson, NJ 07630 | 2006-12-22 |
| 1114936838 | Frederick William Denike | Dentist | 24 Emerson Plaza West, Emerson, NJ 07630 | 2006-08-05 |
| 1720007743 | Carnig C Shakarjian | Podiatrist | 99 Kinderkamack Rd, Emerson, NJ 07630 | 2006-07-19 |
| 1740257880 | Mona Patel | Psychiatry & Neurology | 70 Kinderkamack Road, Suite # 201, Emerson, NJ 07630 | 2006-03-08 |
| 1134643869 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 1b, Emerson, NJ 07630 | 2017-08-03 |
| 1942725601 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 2b, Emerson, NJ 07630 | 2017-08-03 |
| 1023533783 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 3a, Emerson, NJ 07630 | 2017-08-03 |
| Find all providers in zip 07630 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204410 | Gregory Thielman | Physical Therapist | 100 Lindis Farne Ave Apt 4304, Haddon Township, NJ 08108-2761 | 2020-08-07 |
| 1629618582 | Katura Health LLC | Physical Therapist | 542 Freeman Street, 1st Floor, Orange, NJ 07050-6046 | 2020-01-08 |
| 1225596083 | Manaliben C Patel | Physical Therapist | 134 Overlook Ct Apt A, Woodbridge, NJ 07095-1438 | 2019-03-11 |
| 1720562614 | Alfred Banan | Physical Therapist | 306 Martin St, River Vale, NJ 07675-5944 | 2018-09-18 |
| 1295218469 | Arnold Turla Pazcoguin | Physical Therapist | 27 Murray Hill Ter, Bergenfield, NJ 07621-3013 | 2018-09-12 |
| 1861974974 | Karen Tischler | Physical Therapist | 202 White Rd, Jackson, NJ 08527-5014 | 2018-09-05 |
| 1710468681 | Joshua Solomon Itzkowitz | Physical Therapist | 17 Giti Rd, Lakewood, NJ 08701-5630 | 2018-08-28 |
| 1386183556 | Hetal Desai | Physical Therapist | 340 Sterling Pl, Rahway, NJ 07065-4949 | 2017-02-21 |
| 1619410925 | Sarah Margaret Kelber | Physical Therapist | 2 Bailey Ct, Jackson, NJ 08527-4459 | 2016-11-18 |
| 1295181915 | Maria Murphy | Physical Therapist | 290 Chester Ave, Moorestown, NJ 08057-3306 | 2016-05-12 |
| 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.