Active NPI
Justin Trilling, D.P.T.
- Specialist
- West Orange, NJ
National Provider Identifier
1265760573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 030726-1
- Practice address
- 414 Eagle Rock Ave
Ste 107
West Orange, NJ 07052-4229 - Phone
- (973) 731-7877
- Fax
- (973) 731-6332
- NPI assigned
- Nov 24, 2009
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 030726-1 | NY | Primary |
Addresses
Primary practice location
414 Eagle Rock Ave
Ste 107
West Orange, NJ 07052-4229
Mailing address
414 Eagle Rock Ave
Ste 107
West Orange, NJ 07052-4229
Phone (718) 979-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
414 Eagle Rock Ave
Suite 107
West Orange, NJ 07052-4229
Phone (973) 731-7877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030726-1 | NY | MD | Specialist |
| 030726 | NY | MD | Pediatric Occupational Therapist |
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.
-
- Orthopedic Physical Therapist
- West Orange, NJ
- NPI 1356570246
-
- Physical Therapy Clinic/Center
- Sea Girt, NJ
- NPI 1891470936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501113600000",
"number": "1265760573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 EAGLE ROCK AVE",
"address_2": "STE 107",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524229",
"telephone_number": "718-979-1616",
"fax_number": "718-979-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 EAGLE ROCK AVE",
"address_2": "STE 107",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524229",
"telephone_number": "973-731-7877",
"fax_number": "973-731-6332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRILLING",
"first_name": "JUSTIN",
"name_prefix": "Mr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-24",
"last_updated": "2017-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "030726-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.