Triff Santee Boquilon Col, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01838000 Issued in NJ

Practice address

4800 Broadway Ste 212
Union City, NJ 07087-6544

Phone

(877) 576-4681

Fax

(888) 503-1237

NPI assigned

Feb 4, 2019

Last updated

Feb 4, 2019By the provider in NPPES

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)

Enrolled

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1083179139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 EDMUND TER",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834006",
            "telephone_number": "908-265-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 BROADWAY STE 212",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876544",
            "telephone_number": "877-576-4681",
            "fax_number": "888-503-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COL",
        "first_name": "TRIFF SANTEE",
        "middle_name": "BOQUILON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01838000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Union City, NJ
• Providers in Union City, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.