Patrick Joseph Chinjen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00308100 Issued in NJ

Practice address

77 Brant Ave Ste 101
Clark, NJ 07066-1540

Phone

(732) 499-4540

Fax

(732) 499-4577

NPI assigned

May 19, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Physical Therapy Health and Wellness Center, PC

  • Physical Therapy Clinic/Center
  • Clark, NJ
  • NPI 1023244738
  NPD
• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1023755105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MARKOWITZ ST",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081632",
            "telephone_number": "908-510-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BRANT AVE STE 101",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661540",
            "telephone_number": "732-499-4540",
            "fax_number": "732-499-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINJEN",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00308100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adonis Cheng, DO
• Abel John Cherian, M.D.
• Sindhu Cherukupalli, BCBA
• Lori A Chesnock, PT, MS
• Dwight C Chien, L.AC., D.AC., PH.D.
• Irene Cho, MD
• Sara S Choe, DPT
• Julee Choi
• Shmilah Fida Choudhary, DO
• Lalji S Chudasama, M.D.

• Physical Therapy Assistant in Clark, NJ
• Providers in Clark, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.