Individual provider Active NPI

Jennelle Pineda-Lalog, PT

  • Physical Therapist
  • Westwood, NJ
National Provider Identifier
1356434286
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00464500 Issued in NJ
Practice address
24 Booker Street
Westwood, NJ 07675
Phone
(201) 822-0100
Fax
(201) 822-0107
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00464500 NJ Primary

Addresses

Primary practice location

24 Booker Street
Westwood, NJ 07675

Mailing address

24 Booker Street
Westwood, NJ 07675-2619
Phone (201) 822-0100

Other identifiers 5

IdentifierTypeStateIssuer
6268160OtherNJCIGNA
1356434286OtherNJNPI
4620425OtherNJAETNA PROVIDER #
101491103OtherNJUS POSTAL/DEPT OF LABOR
P3654688OtherNJOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031223000590 NJ Practitioner - Physical Therapist in Private Practice 7416855705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Hand and Physical Therapy, P.C.Group PAC ID 7719883081, 8 clinicians

Practice addresses (Care Compare)

28 -32 Van Orden PL
Hackensack, NJ 07601-6011
Phone (201) 822-0100

Merit-based Incentive Payment System (MIPS)

Final score
84.52 of 100Reported as group
Quality
94.89
Improvement activities
40
Cost
55.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00464500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Hand and Physical Therapy, P.C. CurrentSince Oct 1, 2003 Accepting new patients
Alliance Hand and Physical Therapy, P.C. Physical Therapist CurrentSince Oct 1, 2003 Accepting new patients

Locations

15 Emerald St
Hackensack, NJ 07601
Phone (201) 489-5155

28-32 Van Orden Pl
Hackensack, NJ 07601
Phone (201) 621-0300

330 Franklin Tpke
Mahwah, NJ 07430
Phone (201) 684-1444

24 Booker St
Westwood, NJ 07675
Phone (201) 722-1227

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1356434286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BOOKER STREET",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752619",
            "telephone_number": "201-822-0100",
            "fax_number": "201-822-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BOOKER STREET",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-822-0100",
            "fax_number": "201-822-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA-LALOG",
        "first_name": "JENNELLE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00464500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6268160",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356434286",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4620425",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US POSTAL/DEPT OF LABOR",
            "identifier": "101491103",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3654688",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.

Verify at the official NPI Registry.