Jaclyn H Fulop, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01352600 Issued in NJ

Practice address

500 Ave at Port Imperial Blvd Ste 110
Weehawken, NJ 07086-6960

Phone

(201) 272-9400

Fax

(201) 272-9402

NPI assigned

Jun 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jaclyn Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bayshore Rehab Medicine, PC

  • Physical Medicine & Rehabilitation Physician
  • Holmdel, NJ
  • NPI 1033153135
  NPD (past)
• Elite Physical Therapy, LLC

  • Physical Therapist
  • Warwick, RI
  • NPI 1225123565
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1376770420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CENTERVILLE RD",
            "address_2": "SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864376",
            "telephone_number": "401-737-6011",
            "fax_number": "401-737-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AVE AT PORT IMPERIAL BLVD STE 110",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866960",
            "telephone_number": "201-272-9400",
            "fax_number": "201-272-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULOP",
        "first_name": "JACLYN",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01352600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "THOMPSON",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Falco, ROBERT FALCO, D.C.
• Grace Farfan
• Damaris Feliciano, LSW
• Vickiana Figueroa
• Jamie K Fitzgerald, BCBA
• Lindsay Gallo
• Gabriella George
• Simone Gitshteyn, PHARM.D
• Wesley Michael Gober
• Larissa Beltrao Gomes, OT

• Physical Therapist in Weehawken, NJ
• Providers in Weehawken, 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 Mar 19, 2018; 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.