Active NPI
Luisito Raymund Cruz Lipana, P.T.
- Physical Therapist
- Pleasantville, NJ
National Provider Identifier
1144548504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40QA01206600
- Practice address
- 930 Church St
Pleasantville, NJ 08232-4271 - Phone
- (609) 646-6900
- NPI assigned
- May 11, 2010
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT40QA01206600 | NJ | Primary |
Addresses
Primary practice location
930 Church St
Pleasantville, NJ 08232-4271
Mailing address
1932 Cologne Ave
Unit K-10
Mays Landing, NJ 08330-2441
Phone (609) 271-3438
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 |
|---|---|---|---|
| PT40QA01206600 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1144548504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1932 COLOGNE AVE",
"address_2": "UNIT K-10",
"city": "MAYS LANDING",
"state": "NJ",
"postal_code": "083302441",
"telephone_number": "609-271-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 CHURCH ST",
"city": "PLEASANTVILLE",
"state": "NJ",
"postal_code": "082324271",
"telephone_number": "609-646-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPANA",
"first_name": "LUISITO RAYMUND",
"middle_name": "CRUZ",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-11",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "PT40QA01206600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasantville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.