Active NPI
Eileen Enrico, PTA
- Physical Therapy Assistant
- Belleville, NJ
National Provider Identifier
1013121466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 40QB00144200
- Practice address
- 7 Sanford Ave
Belleville, NJ 07109-1221 - Phone
- (973) 751-0200
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QB00144200 | NJ | Primary |
Addresses
Primary practice location
7 Sanford Ave
Belleville, NJ 07109-1221
Mailing address
15 Church TWRS Apt 8K
Hoboken, NJ 07030-2753
Phone (201) 795-1799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QB00144200 | NJ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013121466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CHURCH TWRS APT 8K",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070302753",
"telephone_number": "201-795-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SANFORD AVE",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071091221",
"telephone_number": "973-751-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRICO",
"first_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00144200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, NJ
- Stefani Elefther, OTR/L
- Shakira Denise Ellington
- Empire Medical Associates PC (Empire Medical Associates Belleville)
- Empire Medical Associates, P.C.
- Elizabeth Anne Enoksen, LCSW
- Enterprise Radiation Oncology of New Jersey, LLC
- Daniel J Erbach, LCSW
- Essex Gastroenterology Associates LLC
- Essex Nephrology&Medicalcenter,PC
- Essex Orthopaedic Group, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.