Individual provider Active NPI

Jessica Bradeis, CRT

  • Certified Respiratory Therapist
  • Wayne, NJ
National Provider Identifier
1114335908
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
43ZA00624600 Issued in NJ
Practice address
305 Oldham Rd
Wayne, NJ 07470-2208
Phone
(973) 904-6126
NPI assigned
Jul 24, 2014
Last updated
Jul 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X 43ZA00624600 NJ Primary

Addresses

Primary practice location

305 Oldham Rd
Wayne, NJ 07470-2208

Mailing address

45 Manor Cres
Building 21
New Brunswick, NJ 08901-1682

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
43ZA00624600NJMDCertified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1114335908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MANOR CRES",
            "address_2": "BUILDING 21",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 OLDHAM RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702208",
            "telephone_number": "973-904-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEIS",
        "first_name": "JESSICA",
        "credential": "CRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "NJ",
            "license": "43ZA00624600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.