Ma Luisa C. Bandales, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

40QA01013300 Issued in NJ

Practice address

730 Jamaica Blvd
Plaza 1 Unit 21
Toms River, NJ 08757-3758

Phone

(732) 349-0008

NPI assigned

Oct 11, 2007

Last updated

Oct 11, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Therapeutic Solutions LLC

  • Physical Therapist
  • Monroe, NJ
  • NPI 1720128481
  NPD (past)

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1154519411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 JAMAICA BLVD",
            "address_2": "PLAZA 1 UNIT 21",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573758",
            "telephone_number": "732-349-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 JAMAICA BLVD",
            "address_2": "PLAZA 1 UNIT 21",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573758",
            "telephone_number": "732-349-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDALES",
        "first_name": "MA LUISA",
        "middle_name": "C.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01013300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rina Balsam, LSW
• Robert Balzama, P.T.
• Krista Ann Balzofiore, MSN, RN, FNP-C
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Bankim D. Shah M.D. PA (Shore Preventative Wellness Center)
• Suvidha Bansal, PT
• Codi Banzaca, LPN
• Aileen Marie Barbarino, NURSE
• Tracie Yvette Barberi, DSW, L.C.S.W.

• Specialist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.