Karla M Cayamcela

Key facts

NPI

1194235010

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapy Assistant 225200000X

License

40QB00286800 (NJ)

Practice address

1060 Broad St
Baesment
Newark, NJ 07018

Phone

(855) 465-7626

NPI assigned

Oct 5, 2017

Sex

Female

Sole proprietor

No

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.

• Specialty MD Inc Ophthalmology Physician · South Plainfield, NJ · NPI 1013092071
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 5, 2017.

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1194235010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MILL ST UNIT H3",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095306",
            "telephone_number": "973-759-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 BROAD ST",
            "address_2": "BAESMENT",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "855-465-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYAMCELA",
        "first_name": "KARLA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00286800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Newark, NJ · Physical Therapy Assistant in New Jersey