Individual provider Active NPI

Keith Handler, PTA

  • Specialist
  • Middlesex, NJ
National Provider Identifier
1124247069
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QB00067000 Issued in NJ
Practice address
601 Bound Brook Rd
Middlesex, NJ 08846-2100
Phone
(732) 968-4422
Fax
(732) 968-3671
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40QB00067000 NJ Primary

Addresses

Primary practice location

601 Bound Brook Rd
Middlesex, NJ 08846-2100

Mailing address

552 Emerald TRL
Martinsville, NJ 08836-2345
Phone (732) 302-9323

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
40QB00067000NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
New B E S T Somerset P C 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124247069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 EMERALD TRL",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362345",
            "telephone_number": "732-302-9323",
            "fax_number": "732-968-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BOUND BROOK RD",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088462100",
            "telephone_number": "732-968-4422",
            "fax_number": "732-968-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLER",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QB00067000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesex, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.