AMY Q BANAGA PT
NPI 1780889170
Specialist in Clark, NJ

Q: What is Amy Banaga's NPI number?

The NPI number for Amy Banaga is 1780889170. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Q: What is Amy Banaga's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Banaga was last updated on October 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2007Accepts Medicare Assignment

26 HALIDAY ST, CLARK, NJ 07066(201) 486-5795 Get Directions Write a Review

NPPES record last updated: October 5, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Amy Q Banaga Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY Q BANAGA PT (NPI 1780889170) is an individual specialist in Clark, New Jersey, licensed in New Jersey (40QA01173600) and active in the NPI registry since June 2007. She is a graduate of Other (2001).

NPPES Registry Identity

NPI1780889170

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameAMY Q BANAGACredential: PT

Location Address26 HALIDAY STClark, NJ 07066-1833

Mailing Address26 Haliday StClark, NJ 07066-1833 · (201) 486-5795

Phone(201) 486-5795

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateJune 18, 2007

Last NPPES UpdateOctober 5, 2009

✔ NPI 1780889170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NJ · 40QA01173600

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

26 HALIDAY ST, Clark, NJ 07066

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Q Banaga Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254428667

PECOS Enrollment IDI20140313000014

Medicare Billing Reassignment

Medicare enrollment records show Amy Banaga reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Coast Rehabilitation Services LLC

3.3 mi

Physical Therapy

700 FAIRFIELD AVE
Kenilworth, NJ 07033

Reassigned Medicare billing, New Jersey enrollment
9 clinicians in this Medicare group

NPI 1417228917 (908) 241-8591

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

2,562 services37 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

2,174 services37 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

1,497 services36 patients

Therapy procedure for walking training, each 15 minutes 97116

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

904 services14 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

251 services12 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMFORT NEST HOMES

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

26 HALIDAY ST
CLARK, NJ 07066

Union County (201) 486-5795

COMFORT NEST HOMES

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

26 HALIDAY ST
CLARK, NJ 07066

Union County (201) 486-5795

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Banaga's NPI number?

The NPI number for Amy Banaga is 1780889170. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Amy Banaga located?

Amy Banaga practices at 26 Haliday St, Clark, NJ 07066. The listed phone number is (201) 486-5795.

What is Amy Banaga's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Amy Banaga enrolled in Medicare?

Yes. Amy Banaga is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amy Banaga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Banaga reassigns Medicare benefits to East Coast Rehabilitation Services LLC (Kenilworth, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Banaga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Banaga was last updated on October 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.