Active NPI
Jennifer Kurak
- Physical Therapist
- Lakewood, NJ
National Provider Identifier
1073872511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA0097400
- Practice address
- 761 River Ave
Suite D
Lakewood, NJ 08701-5200 - Phone
- (732) 833-3723
- Fax
- (888) 247-4390
- NPI assigned
- May 3, 2012
- 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 | 40QA0097400 | NJ | Primary |
Addresses
Primary practice location
761 River Ave
Suite D
Lakewood, NJ 08701-5200
Mailing address
761 River Ave
Suite D
Lakewood, NJ 08701-5200
Phone (732) 833-3723
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 |
|---|---|---|---|
| 40QA0097400 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1073872511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 RIVER AVE",
"address_2": "SUITE D",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015200",
"telephone_number": "732-833-3723",
"fax_number": "888-247-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 RIVER AVE",
"address_2": "SUITE D",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015200",
"telephone_number": "732-833-3723",
"fax_number": "888-247-4390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURAK",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-03",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA0097400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.