Individual provider Active NPI

Carla Robbin Hirschhorn, PT

  • Physical Therapist
  • Morganville, NJ
National Provider Identifier
1396166864
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00412000 Issued in NJ
Practice address
704 Ginesi Dr
Morganville, NJ 07751-1249
Phone
(732) 972-8900
Fax
(732) 972-8909
NPI assigned
Dec 30, 2013
Last updated
Dec 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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 40QA00412000 NJ Primary

Addresses

Primary practice location

704 Ginesi Dr
Morganville, NJ 07751-1249

Mailing address

8 Woodcrest Ter
Manalapan, NJ 07726-4653
Phone (908) 770-4747

Other identifiers 1

IdentifierTypeStateIssuer
9999999996OtherNJCAQH

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QA00412000NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1396166864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WOODCREST TER",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077264653",
            "telephone_number": "908-770-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 GINESI DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511249",
            "telephone_number": "732-972-8900",
            "fax_number": "732-972-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHHORN",
        "first_name": "CARLA",
        "middle_name": "ROBBIN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00412000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "9999999996",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.