Active NPI
Cesar Valente Garduque Jr., OTR
- Occupational Therapist
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013016
- Practice address
- 54 Polifly Rd Apt 311
Hackensack, NJ 07601-3295 - Phone
- (646) 206-1025
- Fax
- (201) 880-0614
- NPI assigned
- Apr 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 013016 | NY | Primary |
Addresses
Primary practice location
54 Polifly Rd Apt 311
Hackensack, NJ 07601-3295
Mailing address
54 Polifly Rd Apt 311
Hackensack, NJ 07601-3295
Phone (646) 206-1025
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46TR00447800 | Other | NJ | NJ STATE LICENSE |
| 013016 | Other | NY | NYSED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Englewood Cliffs, NJ 07632
Phone (718) 650-6230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013016 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home by Enhance Therapies LLC | Occupational Therapist | Current | Accepting new patients |
| PT on the Go PC | Current | Accepting new patients | |
| Link Home Services of NJ LLC | Current | Accepting new patients | |
| Homeside Rehab, PT, OT, SLP LLC | Current | Accepting new patients |
Locations
516 Sylvan Ave
Englewood Cliffs, NJ 07632
180 Sylvan Ave
Ste 401
Englewood Cliffs, NJ 07632
Phone (347) 841-8943
411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
441 Route 306
Ste 2
Monsey, NY 10952
Phone (201) 952-4436
296 Route 59
Ste 1225
Suffern, NY 10901
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Englewood Cliffs, NJ
- NPI 1972072585
-
- Physical Therapist
- Lakewood, NJ
- NPI 1124603246
Occupational Therapist
-
- Physical Medicine & Rehabilitation Physician
- Long Branch, NJ
- NPI 1033882345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1104060268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 POLIFLY RD APT 311",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076013295",
"telephone_number": "646-206-1025",
"fax_number": "201-880-0614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 POLIFLY RD APT 311",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076013295",
"telephone_number": "646-206-1025",
"fax_number": "201-880-0614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDUQUE",
"first_name": "CESAR",
"middle_name": "VALENTE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-20",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ STATE LICENSE",
"identifier": "46TR00447800",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYSED",
"identifier": "013016",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.