Active NPI
Rudyard C Saldajeno, PT
- Physical Therapist
- Carteret, NJ
National Provider Identifier
1376790477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01284200
- Practice address
- 1175 Roosevelt Ave
Carteret, NJ 07008-1536 - Phone
- (732) 541-2233
- Fax
- (732) 541-2234
- NPI assigned
- Aug 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01284200 | NJ | Primary |
Addresses
Primary practice location
1175 Roosevelt Ave
Carteret, NJ 07008-1536
Mailing address
1175 Roosevelt Ave
Carteret, NJ 07008-1536
Phone (732) 541-2233
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 |
|---|---|---|---|
| 40QA01284200 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carteret Comprehensive Medical Care, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Monroe, NJ
- NPI 1497200943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1376790477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 ROOSEVELT AVE",
"city": "CARTERET",
"state": "NJ",
"postal_code": "070081536",
"telephone_number": "732-541-2233",
"fax_number": "732-541-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 ROOSEVELT AVE",
"city": "CARTERET",
"state": "NJ",
"postal_code": "070081536",
"telephone_number": "732-541-2233",
"fax_number": "732-541-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALDAJENO",
"first_name": "RUDYARD",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01284200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carteret, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.