Evan Deckelbaum, DPT | |
1111 Clifton Ave, Clifton, NJ 07013-3633 | |
(973) 400-3730 | |
Not Available |
Full Name | Evan Deckelbaum |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 15 Years |
Location | 1111 Clifton Ave, Clifton, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356591986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 031521 (New York) | Secondary |
225100000X | Physical Therapist | 40QA01592700 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forward Motion Physical Therapy Llc | 1355497116 | 4 |
Forward Motion Pt Llc | 8022350297 | 4 |
Provider Name | Ivyrehab Network Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
Provider Name | Forward Motion Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114157344 PECOS PAC ID: 1355497116 Enrollment ID: O20090918000426 |
Provider Name | Forward Motion Pt Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1568927028 PECOS PAC ID: 8022350297 Enrollment ID: O20191015001400 |
Mailing Address | Practice Location Address |
---|---|
Evan Deckelbaum, DPT 109 Raab Ave, Bloomfield, NJ 07003-4520 Ph: (410) 382-4644 | Evan Deckelbaum, DPT 1111 Clifton Ave, Clifton, NJ 07013-3633 Ph: (973) 400-3730 |
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Helen M Kim, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1011 Clifton Ave, Clifton, NJ 07013 Phone: 973-778-1134 Fax: 973-614-1530 | |
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