Active NPI
Christine Espejo Mullane, MSPT
- Physical Therapist
- Hackensack, NJ
National Provider Identifier
1306098272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01538100
- Practice address
- 605 Main St
Hackensack, NJ 07601-5914 - Phone
- (201) 488-0488
- NPI assigned
- Oct 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028090 | NY | |
| Physical Therapist | 225100000X | 40QA01538100 | NJ | Primary |
Addresses
Primary practice location
605 Main St
Hackensack, NJ 07601-5914
Mailing address
605 Main St
Hackensack, NJ 07601-5914
Phone (201) 488-0488
Other names 1
- Christine Marie Espejo
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
51 Newark St
Suite 203
Hoboken, NJ 07030-4543
Phone (201) 656-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028090 | NY | MD | General Practice Dentistry |
| 40QA01538100 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Hudson Family Chiropractic LLC | Physical Therapist | Current | Accepting new patients |
Locations
1321 Washington St
Hoboken, NJ 07030
Phone (201) 795-5492
51 Newark St
Ste 203
Hoboken, NJ 07030
Phone (201) 656-5600
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1306098272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 MAIN ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076015914",
"telephone_number": "201-488-0488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 MAIN ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076015914",
"telephone_number": "201-488-0488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLANE",
"first_name": "CHRISTINE",
"middle_name": "ESPEJO",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "028090",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01538100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "ESPEJO",
"middle_name": "MARIE",
"credential": "MSPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.