CT Medical and Wellness

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

CT MEDICAL AND WELLNESS

Practice address

250 Madison Ave
Paterson, NJ 07524-1814

Phone

(973) 956-5700

NPI assigned

Dec 17, 2024

Organization subpart

No

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

Authorized official

Name

Carmelina Tirri, MDNPI 1710919253

Title

Member

Phone

(201) 341-8604

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmelina Tirri, MD

  • Pediatrics Physician
  • Hackensack, NJ
  • NPI 1710919253
  NPD Authorized official
• Charles Kerry Gleason, DC

  • Chiropractor
  • Paterson, NJ
  • NPI 1598820557
  NPD
• Vivencio S Valencia, P.T.

  • Physical Therapist
  • Bergenfield, NJ
  • NPI 1225177801
  NPD (past)

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735689600000",
    "number": "1245047786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BOGERT DR",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082905",
            "telephone_number": "201-341-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MADISON AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075241814",
            "telephone_number": "973-956-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT MEDICAL AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A",
        "authorized_official_last_name": "TIRRI",
        "authorized_official_first_name": "CARMELINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-341-8604",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE MEDICAL LICENCSE",
            "identifier": "25MA067115",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crooks Avenue Pharmacy Corporation
• Crooks Avenue Pharmacy Corporation
• Angela Crosley, DC
• Johanna Cruz
• Stalin Vladimir Cruz, NURSE
• Nieves Cuervo, MD
• Lea Nicole Cuevas, APN
• Marybeth Cunniff
• Katlyn Cusack, MS, RDN, LDN, PA-C
• Katherine L Cwiklinski, DPT

• Electrodiagnostic Medicine Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Electrodiagnostic Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; 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.