Active NPI
Humberto Colmenares, P.T.
- Orthopedic Physical Therapist
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 40QA00489600
- Practice address
- 75 Montgomery St FL 501
Jersey City, NJ 07302-3726 - Phone
- (201) 433-6001
- Fax
- (201) 433-6634
- NPI assigned
- Dec 27, 2006
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 40QA00489600 | NJ | Primary |
Addresses
Primary practice location
75 Montgomery St FL 501
Jersey City, NJ 07302-3726
Mailing address
701 Newark Ave Ste 212
Elizabeth, NJ 07208-3560
Phone (908) 527-6001
Other practice location 1
701 Newark Ave Ste 212
Elizabeth, NJ 07208-3560
Phone (908) 527-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00489600 | NJ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipta Clinical, LLC | Orthopedic | Current | Accepting new patients |
| 3 Dimensional Physical Therapy - Pelvic Health LLC | Past | Accepting new patients |
Locations
701 Newark Ave
Ste 212
Elizabeth, NJ 07208
Phone (908) 354-9500
75 Montgomery St
Fl 501
Jersey City, NJ 07302
Phone (201) 433-6001
175 Route 70
Ste 19
Medford, NJ 08055
Phone (609) 257-3750
Organizations & group practices 2
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.
-
- Physical Therapist
- Medford, NJ
- NPI 1275348500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1245395235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 NEWARK AVE STE 212",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072083560",
"telephone_number": "908-527-6001",
"fax_number": "908-527-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MONTGOMERY ST FL 501",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073023726",
"telephone_number": "201-433-6001",
"fax_number": "201-433-6634"
}
],
"practiceLocations": [
{
"address_1": "701 Newark Ave Ste 212",
"address_purpose": "LOCATION",
"city": "Elizabeth",
"state": "NJ",
"postal_code": "072083560",
"country_code": "US",
"telephone_number": "908-527-6001",
"fax_number": "908-527-6634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLMENARES",
"first_name": "HUMBERTO",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA00489600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.