Active NPI
M L Barrera
- Physical Therapist
- Union, NJ
National Provider Identifier
1194830430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01162800
- Practice address
- 418 Chestnut St
Union, NJ 07083-9306 - Phone
- (908) 810-9002
- Fax
- (908) 810-9012
- NPI assigned
- Aug 19, 2006
- Last updated
- Oct 17, 2007
- 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 | 40QA01162800 | NJ | Primary |
Addresses
Primary practice location
418 Chestnut St
Union, NJ 07083-9306
Mailing address
418 Chestnut St
Union, NJ 07083-9306
Phone (908) 810-9002
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1194830430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 CHESTNUT ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070839306",
"telephone_number": "908-810-9002",
"fax_number": "908-810-9012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 CHESTNUT ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070839306",
"telephone_number": "908-810-9002",
"fax_number": "908-810-9012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRERA",
"first_name": "M",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01162800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.