Stephen P. Judd, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00179700 Issued in NJ

Practice address

1130 US Highway 202
Building E
Raritan, NJ 08869-1490

Phone

(908) 725-9595

Fax

(908) 725-9803

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1245378488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PHEASANT RUN",
            "city": "GLADSTONE",
            "state": "NJ",
            "postal_code": "079342112",
            "telephone_number": "908-234-9259",
            "fax_number": "908-725-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 US HIGHWAY 202",
            "address_2": "BUILDING E",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691490",
            "telephone_number": "908-725-9595",
            "fax_number": "908-725-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "STEPHEN",
        "middle_name": "P.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00179700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00179700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie R Norton LCSW
• John F. Raziano D.M.D. ,PA
• Matthew Perry Johnson
• Jonathan Koren D.M.D.,P.C.
• Lisa J Jordan-Scalia, DO
• Michael Edwin Kafrissen, M.D.
• Cyprin Kanneh, ANP
• Ani Kashia
• Elene Kashia
• Victoria Kasserman

• Physical Therapist in Raritan, NJ
• Providers in Raritan, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.