Karyll Taladua, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01248700 Issued in NJ

Practice address

564 Broadway
Suite 2a
Bayonne, NJ 07002-8828

Phone

(201) 339-2822

NPI assigned

Nov 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1326228917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WILLIAMS AVE",
            "address_2": "2F",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041126",
            "telephone_number": "201-920-1280",
            "fax_number": "201-360-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 BROADWAY",
            "address_2": "SUITE 2A",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070028828",
            "telephone_number": "201-339-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALADUA",
        "first_name": "KARYLL",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01248700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Sweeney
• Autum Faith Syfert, MS, BCBA
• Synergy Medical Group, LLC
• Merit Tadros
• Leida G Taflinski
• Barbara De Souza Tambasco, PHARMD
• William Tan, MD
• Maham Tariq, LPC
• Samreen Tariq
• George Tarng, MD, MPH

• Physical Therapist in Bayonne, NJ
• Providers in Bayonne, 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 Nov 12, 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.