Active NPI
Heraldine Duevo Solomon, RPT
- Physical Therapist
- Cedar Grove, NJ
National Provider Identifier
1093833394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40QA01215100
- Practice address
- 25 E Lindsley Rd
Cedar Grove, NJ 07009-1023 - Phone
- (973) 256-7220
- NPI assigned
- Mar 26, 2007
- Last updated
- Apr 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17153 | MA | |
| Physical Therapist | 225100000X | PT40QA01215100 | NJ | Primary |
Addresses
Primary practice location
25 E Lindsley Rd
Cedar Grove, NJ 07009-1023
Mailing address
935 Broad St # 3C
Bloomfield, NJ 07003-2841
Phone (617) 953-2129
Other names 1
- Heraldine Villanueva
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17153 | MA | MD | Pharmacist |
| PT40QA01215100 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayada Home Health Care, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1093833394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 BROAD ST # 3C",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032841",
"telephone_number": "617-953-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E LINDSLEY RD",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091023",
"telephone_number": "973-256-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "HERALDINE",
"middle_name": "DUEVO",
"name_prefix": "Miss",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17153",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "PT40QA01215100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HERALDINE",
"last_name": "VILLANUEVA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cedar Grove, NJ
- Uma Sharma
- Michael Jay Shoobs, DMD
- Lisa M Sirkin, BS PT
- Edward Michael Skibiak III, D.D.S.
- Smiles at Cedar Grove PC
- Elise Chassen Sopov
- Daniella Alexis Sosa, OTR/L
- Speedy Pharmacy, Inc. (Brick City Pharmacy)
- Lydia Spevack
- St. Joseph's Hospital and Medical Center (St. Vincent's Healthcare and Rehab Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.