Individual provider Active NPI

Florence L Tashjian, PT

  • Physical Therapist
  • Wall Township, NJ
National Provider Identifier
1104272236
Registry record updated May 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00582700 Issued in NJ
Practice address
1350 Campus Pkwy
Wall Township, NJ 07753-6821
Phone
(732) 295-8215
NPI assigned
May 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2016

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 40QA00582700 NJ Primary

Addresses

Primary practice location

1350 Campus Pkwy
Wall Township, NJ 07753-6821

Mailing address

62 Beechwood Rd
Lincroft, NJ 07738-1101
Phone (732) 747-5679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204003615 NJ Practitioner - Physical Therapist in Private Practice 0042554883 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Outpatient Services, Inc. Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Diagnostix Physical Therapy and Rehabilitation Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. Physical Therapist Current Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Jun 3, 2024 Accepting new patients

Locations

135 NJ 35
Eatontown, NJ 07724
Phone (848) 308-4911

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.

NPI Registry JSON

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

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462579200000",
    "number": "1104272236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BEECHWOOD RD",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381101",
            "telephone_number": "732-747-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CAMPUS PKWY",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077536821",
            "telephone_number": "732-295-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASHJIAN",
        "first_name": "FLORENCE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-07",
        "last_updated": "2016-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00582700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.