Active NPI
Leilani Malibiran, R.P.T.
- Rehabilitation Chiropractor
- Bayonne, NJ
National Provider Identifier
1306081716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- PTQA01102400
- Practice address
- 11 W 25TH St
Bayonne, NJ 07002-3800 - Phone
- (201) 243-9291
- NPI assigned
- Dec 15, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | PTQA01102400 | NJ | Primary |
Addresses
Primary practice location
11 W 25TH St
Bayonne, NJ 07002-3800
Mailing address
285 Aycrigg Ave Apt 8E
Passaic, NJ 07055-3725
Phone (201) 388-6762
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTQA01102400 | NJ | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229299200000",
"number": "1306081716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 AYCRIGG AVE APT 8E",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070553725",
"telephone_number": "201-388-6762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 W 25TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023800",
"telephone_number": "201-243-9291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIBIRAN",
"first_name": "LEILANI",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-15",
"last_updated": "2008-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NJ",
"license": "PTQA01102400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.