- Medicare in Fair Lawn, NJ

  1. Home
is a medicare enrolled "Orthopaedic Surgery" provider in Fair Lawn, New Jersey. Their current practice location is 2-22 Banta Pl, Fair Lawn, New Jersey. You can reach out to their office (for appointments etc.) via phone at (201) 509-8600.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1275286148.

Contact Information

2-22 Banta Pl,
Fair Lawn, NJ 07410-3058
(201) 509-8600
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOrthopaedic Surgery
Location2-22 Banta Pl, Fair Lawn, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275286148
  • Provider Enumeration Date: 02/01/2022
  • Last Update Date: 07/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951796622
  • Enrollment ID: O20220316001364

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275286148NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
171100000XAcupuncturist (* (Not Available))Secondary
207LP2900XAnesthesiology - Pain Medicine (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Primary
207XS0117XOrthopaedic Surgery - Orthopaedic Surgery Of The Spine (* (Not Available))Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine (* (Not Available))Secondary
208VP0014XPain Medicine - Interventional Pain Medicine (* (Not Available))Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
2255A2300XSpecialist/technologist - Athletic Trainer (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameJohn S Cho
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1417111600
PECOS PAC ID: 6204902315
Enrollment ID: I20080912000556
Provider NameJames Kenneth Chang
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1053501916
PECOS PAC ID: 7517082803
Enrollment ID: I20100909000798
Provider NameBryant J Acquaro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881908911
PECOS PAC ID: 7517140502
Enrollment ID: I20110329000781
Provider NameMehul D Shah
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1447577028
PECOS PAC ID: 1355585712
Enrollment ID: I20150814013264
Provider NameArun Rajaram
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1881838993
PECOS PAC ID: 9133434350
Enrollment ID: I20150818004122
Provider NameAndrew R Sim
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1912295122
PECOS PAC ID: 3870889231
Enrollment ID: I20160912000122
Provider NameGregory T Byrne
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649630005
PECOS PAC ID: 2668760497
Enrollment ID: I20161011003082
Provider NameAlan D Gaines
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649715848
PECOS PAC ID: 2668755752
Enrollment ID: I20170215002967
Provider NameAmmar F Saymeh
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1417492604
PECOS PAC ID: 2860760188
Enrollment ID: I20170629000898
Provider NameWilliam Gallagher
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1295170082
PECOS PAC ID: 4385943000
Enrollment ID: I20170801000067
Provider NameChristopher R Faber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053819862
PECOS PAC ID: 0143581595
Enrollment ID: I20180227000544
Provider NameDavid A Teplitsky
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1326537762
PECOS PAC ID: 7113272675
Enrollment ID: I20180625001396
Provider NameTodd D Webb
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1023594405
PECOS PAC ID: 1557619558
Enrollment ID: I20180808000990
Provider NameVishal A Khatri
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1740683275
PECOS PAC ID: 1254606296
Enrollment ID: I20181003000040
Provider NameAnthony S Lanzano
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1700350980
PECOS PAC ID: 1759623234
Enrollment ID: I20190502001558
Provider NameChris M Thomas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821567124
PECOS PAC ID: 6608118807
Enrollment ID: I20190508000214
Provider NameNathaniel Philip Proce
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1871051706
PECOS PAC ID: 1557691003
Enrollment ID: I20190925002847
Provider NameTimothy Yu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487201604
PECOS PAC ID: 4486986635
Enrollment ID: I20191022000053
Provider NameCaitlin A Alpaugh
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1396395000
PECOS PAC ID: 1658603337
Enrollment ID: I20191030000173
Provider NameAlexis D Corralizza
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1093374563
PECOS PAC ID: 0648603415
Enrollment ID: I20191209002148
Provider NameMatthew S Chletsos
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1245860147
PECOS PAC ID: 0143658591
Enrollment ID: I20200317002354
Provider NameShaigan Iqbal
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1568849438
PECOS PAC ID: 1557607553
Enrollment ID: I20200625001023
Provider NameMaybelle Maningat
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1295265346
PECOS PAC ID: 0244653590
Enrollment ID: I20200706001859
Provider NameGarrett E Rumsby
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033728829
PECOS PAC ID: 0840618369
Enrollment ID: I20200916000433
Provider NameRobert Dc Fennimore
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1235736992
PECOS PAC ID: 8729492988
Enrollment ID: I20210128002775
Provider NameAayushi Pandya
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740850866
PECOS PAC ID: 5496157190
Enrollment ID: I20210716000751
Provider NameNicholas J Cirlincione
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1558934646
PECOS PAC ID: 1254735624
Enrollment ID: I20210806000921
Provider NameCheyenne Winstead
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568139673
PECOS PAC ID: 5799181954
Enrollment ID: I20210914000889
Provider NameJoseph Legato
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1265813935
PECOS PAC ID: 5890118152
Enrollment ID: I20210927003088
Provider NameJacob Betkowski
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1093472334
PECOS PAC ID: 7416347208
Enrollment ID: I20211209003037
Provider NameBrooke Haden
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1134791429
PECOS PAC ID: 2365834884
Enrollment ID: I20220113000711
Provider NameAlexander J Leto
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053067165
PECOS PAC ID: 0244625051
Enrollment ID: I20220314001992
Provider NameMichael L Nelson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1023750833
PECOS PAC ID: 3072900125
Enrollment ID: I20220420001846
Provider NameRubina Chauhan-d'emilio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740908433
PECOS PAC ID: 3971988007
Enrollment ID: I20220909002558
Provider NameAlyssa Monaco
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1700543550
PECOS PAC ID: 5092191536
Enrollment ID: I20221006000443
Provider NameRocco Pantina
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386367415
PECOS PAC ID: 1254707391
Enrollment ID: I20221014001846
Provider NameAmanda Grace Falsetta
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1851961254
PECOS PAC ID: 0648675827
Enrollment ID: I20230720001262
Provider NameSabrina Grace Estevez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477251718
PECOS PAC ID: 5092178137
Enrollment ID: I20230823000468
Provider NameAnthony Beyjoun
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518742170
PECOS PAC ID: 5991150013
Enrollment ID: I20231010002486
Provider NameThomas Corbisiero
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659159812
PECOS PAC ID: 6305291907
Enrollment ID: I20231018000044
Provider NameClare P Bohn
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1699541300
PECOS PAC ID: 9537518758
Enrollment ID: I20231213003854
Provider NameDylan Lagiglia
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1215508387
PECOS PAC ID: 0143671412
Enrollment ID: I20240111000509
Provider NameVikita S Patel
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1780454736
PECOS PAC ID: 0941652937
Enrollment ID: I20240116000106
Provider NameSandro Carboni
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1669241659
PECOS PAC ID: 9133571805
Enrollment ID: I20240118000560
Provider NameWhitley Madison
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558099796
PECOS PAC ID: 6608237946
Enrollment ID: I20240130000346
Provider NameSabrina Lamorte
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1144083726
PECOS PAC ID: 1254777519
Enrollment ID: I20240308000595
Provider NameSabrina Pascarella
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1982460887
PECOS PAC ID: 6406292440
Enrollment ID: I20240312003398
Provider NameKevin Andrew Ross
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1972356921
PECOS PAC ID: 7517306566
Enrollment ID: I20240423003957
Provider NameJenna M Ambrosio
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1003496886
PECOS PAC ID: 6608284880
Enrollment ID: I20240513002902
Provider NameEric Tabachnik Acevedo
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1023857752
PECOS PAC ID: 7618319971
Enrollment ID: I20240531002299
Provider NameMegan Elizabeth Mcdermott
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275375677
PECOS PAC ID: 6608310495
Enrollment ID: I20240703003383
Provider NameLindsey Samantha Fhima
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124869243
PECOS PAC ID: 5597200576
Enrollment ID: I20240715001562
Provider NameRami Zaki
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1225873441
PECOS PAC ID: 5294270047
Enrollment ID: I20240716004064
Provider NameMark Jules Abrams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053144790
PECOS PAC ID: 1456890565
Enrollment ID: I20240903001418
Provider NameAlexis N Long
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508696162
PECOS PAC ID: 7416498290
Enrollment ID: I20240919003256
Provider NameGianna Taffo
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1134946262
PECOS PAC ID: 7517498116
Enrollment ID: I20241007003770
Provider NameEmily Beenders
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1780402941
PECOS PAC ID: 7012449218
Enrollment ID: I20241012000396
Provider NameJulia Wiemken
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760215776
PECOS PAC ID: 5294267381
Enrollment ID: I20241014004059
Provider NameJoseph Mathew Motto
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1336966035
PECOS PAC ID: 2264964378
Enrollment ID: I20241015000173
Provider NameMichael Thomas
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1073019402
PECOS PAC ID: 3779966593
Enrollment ID: I20241017002747
Provider NameLauren Viscusi
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1295558047
PECOS PAC ID: 5092240739
Enrollment ID: I20241119000920
Provider NameSamantha Marie Amico
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1548083009
PECOS PAC ID: 8224563101
Enrollment ID: I20241202002024

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

2-22 Banta Pl,
Fair Lawn, NJ 07410-3058

Ph: (201) 509-8600
2-22 Banta Pl,
Fair Lawn, NJ 07410-3058

Ph: (201) 509-8600

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.