Individual provider Active NPI

Martin Ciner, PT

  • Physical Therapist
  • Pennsauken, NJ
National Provider Identifier
1083644843
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00638000 Issued in NJ
Practice address
3801 Marlton Pike
Pennsauken, NJ 08110-6312
Phone
(856) 910-8889
Fax
(856) 910-8755
NPI assigned
Jul 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00638000 NJ Primary

Addresses

Primary practice location

3801 Marlton Pike
Pennsauken, NJ 08110-6312

Mailing address

3801 Marlton Pike
Pennsauken, NJ 08110-6312
Phone (856) 910-8889

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Jersey Primary Care Physicians & Rehabilitation Center P.C. Physical Therapist CurrentSince Jun 1, 2010 Accepting new patients
Dean a Newton PA PastSince Jun 1, 2010 Accepting new patients

Locations

3801 Marlton Pike
Pennsauken, NJ 08110
Phone (856) 845-6110

6500 Madison Ave
Ste Y
Pennsauken, NJ 08109
Phone (856) 910-8889

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083644843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MARLTON PIKE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081106312",
            "telephone_number": "856-910-8889",
            "fax_number": "856-910-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MARLTON PIKE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081106312",
            "telephone_number": "856-910-8889",
            "fax_number": "856-910-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINER",
        "first_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00638000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsauken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.