Active NPI
Enric Thomas Seno Gestopa
- Physical Therapist
- Cedar Grove, NJ
National Provider Identifier
1154804862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01773900
- Practice address
- 315 E Lindsley Rd
Cedar Grove, NJ 07009-1152 - Phone
- (973) 754-4800
- NPI assigned
- Sep 9, 2018
- Last updated
- Sep 9, 2018
- Sex
- Male
- 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 | 40QA01773900 | NJ | Primary |
Addresses
Primary practice location
315 E Lindsley Rd
Cedar Grove, NJ 07009-1152
Mailing address
560 Willow Ave
Lyndhurst, NJ 07071-2621
Phone (860) 518-2143
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01773900 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536451200000",
"number": "1154804862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 WILLOW AVE",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070712621",
"telephone_number": "860-518-2143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E LINDSLEY RD",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091152",
"telephone_number": "973-754-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GESTOPA",
"first_name": "ENRIC THOMAS",
"middle_name": "SENO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-09",
"last_updated": "2018-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01773900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Grove, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.