Primary Care of Oradell
NPI 1831575406ActiveOrganization· Physical Therapy Assistant· Teaneck, NJ
Physical Therapy Assistant in Teaneck, New Jersey, registered in NPPES in August 2015. The authorized official on file is Patricia Beniquez Pacheco, Credentialing Supervisor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1831575406 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 6, 2015 |
| Last updated in NPPES | May 9, 2024 |
| Certified by provider | May 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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