Serg Mari Entise, BSPT
NPI 1811107733 · Physical Therapist · East Newark, NJ
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Serg Mari Entise, BSPT is a Physical Therapist provider in East Newark, NJ (NPI 1811107733).
Provider details
- NPI number
- 1811107733
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- BSPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40QA00994400 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2019-04-23
Frequently asked questions
- What is Serg Mari Entise's NPI number?
- Serg Mari Entise's National Provider Identifier (NPI) is 1811107733, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Serg Mari Entise's specialty?
- Serg Mari Entise is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Serg Mari Entise located?
- Serg Mari Entise's practice location on file with NPPES is 400 Passaic Ave, East Newark, NJ 07029-2852.
- What is Serg Mari Entise's phone number?
- The practice phone number listed in the NPPES registry for Serg Mari Entise is (201) 575-0070.
- Does Serg Mari Entise accept Medicare?
- Serg Mari Entise is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Serg Mari Entise's NPI active?
- Yes — Serg Mari Entise's NPI (1811107733) is active in the NPPES registry as of the last update on 2019-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.