SPECTRUM PHYSICAL THERAPY AND ATHLETIC TRAINING LLC (NPI# 1417140906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417140906 |
| Entity Type | Organization |
| Organization Name | SPECTRUM PHYSICAL THERAPY AND ATHLETIC TRAINING LLC |
| Practice Address |
968 River Rd 2nd Floor Edgewater NJ 07020-2237 |
| Mailing Address |
1203 River Rd Apt 5k Edgewater NJ 07020-1442 |
| Practice Telephone | 2019373600 |
| Practice Fax Number | 2017315192 |
| Mailing Telephone | 2019373600 |
| Mailing Fax Number | 2017315192 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2008-08-26 |
| Authorized Official Name | DR. GREGORY R. ZACCCONE (PRESIDENT) |
| Authorized Official Telephone | 2019373600 |
| Authorized Official Credential | PT, DPT, MSPT, S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
NJ40QA01107700 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
968 RIVER RD 2ND FLOOR |
| City | EDGEWATER |
| State | NJ |
| Zip Code | 07020-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082827 | Radu Codel | Internal Medicine | 968 River Rd, Edgewater, NJ 07020-1221 | 2005-09-06 |
| 1932616091 | Angela Mcdowell | Nurse Practitioner | 968 River Rd, Edgewater, NJ 07020-2237 | 2018-01-10 |
| 1154671501 | Physician Partners of Englewood, PC | Obstetrics & Gynecology | 968 River Rd, Suite 203, Edgewater, NJ 07020-2237 | 2012-09-13 |
| 1245506930 | Gregory A Pappas Mdpc | Specialist | 968 River Rd, Edgewater, NJ 07020-2237 | 2012-03-27 |
| 1992993018 | Edgewater Foot and Ankle Associates, PC | Podiatrist | 968 River Rd, Suite 100, Edgewater, NJ 07020-2237 | 2007-10-15 |
| 1316139983 | Radu Codel Md PC | Internal Medicine | 968 River Rd, Edgewater, NJ 07020-1221 | 2007-08-16 |
| 1437220795 | Shubha Varma | Surgery | 968 River Rd, Edgewater, NJ 07020-1221 | 2006-11-10 |
| 1144259383 | Vinod R Lala | Specialist | 968 River Rd, Suite 203, Edgewater, NJ 07020-2237 | 2006-07-01 |
| 1811937220 | Contemporary Womens Health Care LLC | Specialist | 968 River Rd, Suite 203, Edgewater, NJ 07020-2237 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737167 | One Hudson Medical Associates | Non-Pharmacy Dispensing Site | 1829 Hudson Park, Edgewater, NJ 07020 | 2013-05-14 |
| 1003164666 | Daisy Flores | Speech-Language Pathologist | 116 Panorama Drive, Edgewater, NJ 07020 | 2012-08-29 |
| 1518188622 | Barbara Nan Altman | Social Worker | 309 Thornton Court, Edgewater, NJ 07020 | 2007-05-02 |
| 1124173950 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 The Promenade Ste C5a, Edgewater, NJ 07020 | 2007-01-24 |
| 1104983717 | Edgewater Pediatrics PC | Pediatrics | 115 River Road, Suite 1003 Building #10, Edgewater, NJ 07020 | 2007-01-02 |
| 1255402293 | Skyview Dental Center LLP | Dentist | 880 River Road, 2nd Floor, Edgewater, NJ 07020 | 2006-11-13 |
| 1043228588 | Irfan Admani | Internal Medicine | 103 River Road, Edgewater, NJ 07020 | 2006-08-03 |
| 1851316319 | Duane Reade | Durable Medical Equipment & Medical Supplies | 11 Edgewater Towne Ctr, Edgewater, NJ 07020 | 2006-07-13 |
| 1679502215 | 968 River Road Radiology | Clinic/Center | 968 River Road, Edgewater, NJ 07020 | 2006-07-03 |
| 1447219191 | Corinne Jeanette Gehegan | Podiatrist | 725 River Road, Suite 201-a, Edgewater, NJ 07020 | 2006-03-21 |
| Find all providers in zip 07020 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363582 | Rufus Zachary Hay | Physical Therapist | 1609 11th Ave, Toms River, NJ 08757-2038 | 2020-10-13 |
| 1497376297 | Nicholas Mckaba | Physical Therapist | 33 Ascot Dr, Long Valley, NJ 07853-3660 | 2020-05-03 |
| 1437624269 | Heather Minue | Physical Therapist | 38 Danbury Rd, Tinton Falls, NJ 07753-7918 | 2018-10-08 |
| 1962925412 | Provere Physical Therapy - Paramus LLC | Physical Therapist | 407 Sette Dr Bldg E, Paramus, NJ 07652-2940 | 2017-07-17 |
| 1477804748 | Joseph B. Peragine | Physical Therapist | 144 Princeton Oval, Freehold, NJ 07728-5336 | 2012-09-27 |
| 1235431586 | Harold Alaan | Physical Therapist | 239 English Pl, Basking Ridge, NJ 07920-2799 | 2010-11-18 |
| 1154595197 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 136 Hopper Ave., Waldwick, NJ 07463 | 2008-04-22 |
| 1619061074 | Benjamin Meir Burton | Physical Therapist | 69 Newark Pompton Tpke, Riverdale, NJ 07457-1426 | 2006-10-03 |
| 1952408296 | Rodolfo Chua Jr. | Physical Therapist | 575 High Mountain Rd, North Haledon, NJ 07508-2662 | 2006-09-20 |
| 1689781593 | Shane Famille | Physical Therapist | 17 11th Ave, Glendora, NJ 08029-1333 | 2006-08-24 |
| 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.