Individual provider Active NPI

Marilyn Umali-Dizon

  • Physical Therapist
  • East Orange, NJ
National Provider Identifier
1386825149
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01114300 Issued in NJ
Practice address
280 S Harrison St
East Orange, NJ 07018-1960
Phone
(973) 674-4848
Fax
(973) 674-4499
NPI assigned
Nov 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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 40QA01114300 NJ Primary

Addresses

Primary practice location

280 S Harrison St
East Orange, NJ 07018-1960

Mailing address

280 S Harrison St
East Orange, NJ 07018-1960
Phone (973) 674-4848

Other names 1

  • Marilyn Umali Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080401000419 NJ Practitioner - Physical Therapist in Private Practice 6709963796 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomfield Total Health CenterGroup PAC ID 1850387010, 5 clinicians
Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

1129 Broad Sreet
Bloomfield, NJ 07003-2918
Phone (973) 338-3620

155 Belmont Ave
Suite 128
Belleville, NJ 07109-3767
Phone (973) 751-9230

529 Goffle Rd
Wyckoff, NJ 07481-2937
Phone (844) 777-0910

543 45TH St
Union City, NJ 07087-2615
Phone (844) 777-0910

7 E Main St
Ramsey, NJ 07446-1922
Phone (201) 560-0711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01114300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lake Physical Therapy LLC Physical Therapist CurrentSince Oct 3, 2016 Accepting new patients
Bloomfield Total Health Center Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Kayal Medical Group, LLC Physical Therapist CurrentSince Dec 15, 2022 Accepting new patients
Kayal Orthopaedic Center, P.C. PastSince Jun 1, 2020 Accepting new patients
East Hudson Medical PA Past Accepting new patients
Essex Rehabilitation, P.C. Past Accepting new patients

Locations

140 Belmont Ave
Ste 101
Belleville, NJ 07109
Phone (973) 750-9230

1129 Broad St
Bloomfield, NJ 07003
Phone (973) 338-3620

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

185 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 560-0711

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

529 Goffle Rd
Wyckoff, NJ 07481
Phone (201) 652-1010

Interoperability endpoints

  • Direct secure messaging: marilyn.dizon@ko.eclinicaldirectplus.com

Organizations & group practices 6

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": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1386825149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S HARRISON ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181960",
            "telephone_number": "973-674-4848",
            "fax_number": "973-674-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S HARRISON ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181960",
            "telephone_number": "973-674-4848",
            "fax_number": "973-674-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMALI-DIZON",
        "first_name": "MARILYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01114300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "UMALI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.