Active NPI
Raymond Shek, DPT
- Physical Therapist
- Fanwood, NJ
National Provider Identifier
1225469638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 037033
- Practice address
- 2068 Princeton Ave
Fanwood, NJ 07023-1717 - Phone
- (908) 370-7918
- NPI assigned
- Dec 10, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 037033 | NY | Primary |
| Physical Therapist | 225100000X | 2305208449 | VA |
Addresses
Primary practice location
2068 Princeton Ave
Fanwood, NJ 07023-1717
Mailing address
2068 Princeton Ave
Fanwood, NJ 07023-1717
Phone (908) 370-7918
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 |
|---|---|---|---|
| 037033 | NY | MD | Physical Therapist |
| 2305208449 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1225469638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2068 PRINCETON AVE",
"city": "FANWOOD",
"state": "NJ",
"postal_code": "070231717",
"telephone_number": "908-370-7918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2068 PRINCETON AVE",
"city": "FANWOOD",
"state": "NJ",
"postal_code": "070231717",
"telephone_number": "908-370-7918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEK",
"first_name": "RAYMOND",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-10",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "037033",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208449",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fanwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.