Active NPI
Eileen Kringle MC Auley, P.T.
- Physical Therapist
- Glen Rock, NJ
National Provider Identifier
1114284239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- #40QA00327500
- Practice address
- 522 Broad Street
Glen Rock, NJ 07452 - Phone
- (201) 444-9110
- Fax
- (201) 444-3365
- NPI assigned
- Apr 13, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | #40QA00327500 | NJ | Primary |
Addresses
Primary practice location
522 Broad Street
Glen Rock, NJ 07452
Mailing address
522 Broad Street
Glen Rock, NJ 07452
Phone (201) 444-9110
Other names 1
- Eileen Mary Kringle
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 |
|---|---|---|---|
| #40QA00327500 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1114284239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 BROAD STREET",
"city": "GLEN ROCK",
"state": "NJ",
"postal_code": "07452",
"telephone_number": "201-444-9110",
"fax_number": "201-444-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 BROAD STREET",
"city": "GLEN ROCK",
"state": "NJ",
"postal_code": "07452",
"telephone_number": "201-444-9110",
"fax_number": "201-444-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MC AULEY",
"first_name": "EILEEN",
"middle_name": "KRINGLE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "#40QA00327500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EILEEN",
"last_name": "KRINGLE",
"middle_name": "MARY",
"credential": "PHYSICAL THERAPIST",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glen Rock, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.