Active NPI
Franceah R Palencia, MSPT
- Physical Therapist
- Hackensack, NJ
National Provider Identifier
1023076759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00993200
- Practice address
- 28-32 Van Orden Place
Hackensack, NJ 07631-1951 - Phone
- (201) 621-0100
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 40QA00993200 | NJ | Primary |
Addresses
Primary practice location
28-32 Van Orden Place
Hackensack, NJ 07631-1951
Mailing address
193 Reid Ave
Bergenfield, NJ 07621-1951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40QA00993200 | Other | NJ | PHYSICAL THERAPY LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1023076759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 REID AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076211951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28-32 VAN ORDEN PLACE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076311951",
"telephone_number": "201-621-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALENCIA",
"first_name": "FRANCEAH",
"middle_name": "R",
"name_prefix": "Miss",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00993200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "40QA00993200",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.