Individual provider Active NPI

Kristine Coniglio, MPT

  • Specialist
  • Williamstown, NJ
National Provider Identifier
1043588015
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA00466500 Issued in NJ
Practice address
1035 N Black Horse Pike
Suite 5
Williamstown, NJ 08094-2840
Phone
(856) 728-4100
Fax
(856) 728-4415
NPI assigned
Dec 6, 2011
Last updated
Dec 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40QA00466500 NJ Primary

Addresses

Primary practice location

1035 N Black Horse Pike
Suite 5
Williamstown, NJ 08094-2840

Mailing address

1035 N Black Horse Pike
Suite 5
Williamstown, NJ 08094-2840
Phone (856) 728-4100

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": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1043588015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N BLACK HORSE PIKE",
            "address_2": "SUITE 5",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080942840",
            "telephone_number": "856-728-4100",
            "fax_number": "856-728-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N BLACK HORSE PIKE",
            "address_2": "SUITE 5",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080942840",
            "telephone_number": "856-728-4100",
            "fax_number": "856-728-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONIGLIO",
        "first_name": "KRISTINE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00466500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.