DR. HEIDI A. QUACKENBOSS (NPI# 1548405772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548405772 |
| Entity Type | Individual |
| Full Name | DR. HEIDI A. QUACKENBOSS |
| Credential | DPT |
| Practice Address |
700 Passaic Ave West Caldwell NJ 07006-6408 |
| Mailing Address |
415 Claremont Ave Apt 1c Montclair NJ 07042-1815 |
| Practice Telephone | 9735757576 |
| Practice Fax Number | 9735757985 |
| Mailing Telephone | 9732331312 |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
40QA01298900 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40QA01298900 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
700 PASSAIC AVE |
| City | WEST CALDWELL |
| State | NJ |
| Zip Code | 07006-6408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881772200 | Caldwell Community Physical Therapy | Physical Therapist | 700 Passaic Ave, West Caldwell, NJ 07006-6408 | 2006-11-02 |
| 1538766894 | Barbara Burns | Physical Therapist | 700 Passaic Ave, West Caldwell, NJ 07006-6408 | 2020-10-08 |
| 1710535521 | Mary Lee | Physical Therapy Assistant | 700 Passaic Ave, West Caldwell, NJ 07006-6408 | 2019-08-27 |
| 1932601937 | Professional Orthopedic and Sports Physical Therapy of N.j., L.L.C. | Physical Therapist | 700 Passaic Ave, West Caldwell, NJ 07006-6408 | 2018-03-06 |
| 1578065579 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 700 Passaic Ave, West Caldwell, NJ 07006-6408 | 2018-03-06 |
| 1063898534 | Franco Crincoli | Physical Therapy Assistant | 700 Passaic Ave, West Caldwell, NJ 07006-6408 | 2015-08-06 |
| 1093100299 | Danielle Brunello | Physical Therapy Assistant | 700 Passaic Ave, West Caldwell, NJ 07006-6408 | 2015-04-03 |
| 1679851521 | Cyril R Kurian | Physical Therapist | 700 Passaic Ave, West Caldwell, NJ 07006-6408 | 2011-07-26 |
| 1558586081 | Forouzan Ghaffari | Dentist | 700 Passaic Ave, Dental Group, West Caldwell, NJ 07006-6408 | 2007-04-17 |
| 1386860815 | New West Caldwell Dental Group Pa | Dentist | 700 Passaic Ave, West Caldwell, NJ 07006-6408 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063984979 | Ethan and The Bean A New Jersey Non Profit Corporation | Assistant Behavior Analyst | 31 Fairfield Avenue, West Caldwell, NJ 07006 | 2018-12-18 |
| 1083104228 | A Plus Rehab LLC | Physical Medicine & Rehabilitation | 9 Bloomfield Ave, North Caldwell, NJ 07006 | 2018-05-14 |
| 1326556564 | Salvatrice Rosalia Polizzotto | Social Worker | 249 Bloomfield Avenue, 2nd Floor, Caldwell, NJ 07006 | 2018-01-22 |
| 1750820452 | Caldwell University | Behavioral Analyst | 120 Bloombfield Avenue, Caldwell, NJ 07006 | 2017-02-15 |
| 1790151116 | Bankim Shah | Internal Medicine | 32 Wakefield Pl, Caldwell, NJ 07006 | 2015-08-19 |
| 1598157638 | Lisa Santeramo | Behavioral Analyst | 309 Westville Avenue, West Caldwell, NJ 07006 | 2015-02-26 |
| 1871832774 | Theodore K Chang | Dentist | 749 Bloomfield Ave Ste D, West Caldwell, NJ 07006 | 2013-02-12 |
| 1801132535 | Booyoung Chung | Pharmacist | 560 Passiac Ave Cvs, West Caldwell, NJ 07006 | 2012-12-28 |
| 1750611802 | Christopher Jones, Dds, P.a. | Dentist | 1129 Bloomfield Avenue, West Caldwell, NJ 07006 | 2010-01-12 |
| 1194976837 | Arthur Edward Halprin | Dentist | 277 Bloomfield Ave., Caldwell, NJ 07006 | 2008-09-30 |
| Find all providers in zip 07006 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881772200 | Caldwell Community Physical Therapy | Physical Therapist | 700 Passaic Ave, West Caldwell, NJ 07006-6408 | 2006-11-02 |
| 1619025004 | Judith D'annunzio | Physical Therapist | 700 Passaic Ave, West Caldwell, NJ 07006-6408 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467424 | Brittany Kranson | Physical Therapist | 1873 Route 70 E Ste 1, Cherry Hill, NJ 08003-2034 | 2020-11-06 |
| 1053926386 | Natalia Ochalski | Physical Therapist | 570 South Avenue E, Bldg G, Suite C, Cranford, NJ 07016 | 2020-09-14 |
| 1871104463 | Katja Zeisler | Physical Therapist | 395 Grand St Fl 3, Jersey City, NJ 07302-4238 | 2020-08-16 |
| 1760007256 | Strongholistics, LLC | Physical Therapist | 105 Grove St Ste 14, Montclair, NJ 07042-4053 | 2020-06-10 |
| 1255951877 | Physiopros Physical Therapy & Wellness | Physical Therapist | 49 Overlook Rd, Morristown, NJ 07960-5805 | 2020-04-23 |
| 1730715038 | Sabrina Casares | Physical Therapist | 770 Lighthouse Dr Unit 170, Barnegat, NJ 08005-2373 | 2020-03-18 |
| 1750912820 | Brianna Carri, Pt, Dpt LLC | Physical Therapist | 32 Deanna Dr Apt 66, Hillsborough, NJ 08844-4851 | 2020-01-28 |
| 1265071187 | Ashley Mak Performance and Rehabilitation, PC | Physical Therapist | 1320 Adams St Ste B, Hoboken, NJ 07030-2370 | 2019-12-23 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
| Find all providers with the same taxonomy | ||||
| City | WEST CALDWELL |
| Zip Code | 07006 |
Please comment or provide details below to improve the information on DR. HEIDI A. QUACKENBOSS.
| 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.