Individual provider Active NPI

Henry Dacuyon Arcena

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1407178148
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40PTQA0873300 Issued in NJ
Practice address
14 Holly St
Jersey City, NJ 07305-4837
Phone
(201) 779-6799
NPI assigned
Feb 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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 40PTQA0873300 NJ Primary

Addresses

Primary practice location

14 Holly St
Jersey City, NJ 07305-4837

Mailing address

14 Holly St
Jersey City, NJ 07305-4837
Phone (201) 779-6799

Other names 1

  • Mr. Henry Dacuyon Arcena Professional name

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

LicenseStateTypeSpecialty
40PTQA0873300NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1407178148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HOLLY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073054837",
            "telephone_number": "201-779-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HOLLY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073054837",
            "telephone_number": "201-779-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCENA",
        "first_name": "HENRY",
        "middle_name": "DACUYON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40PTQA0873300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENRY",
            "last_name": "ARCENA",
            "middle_name": "DACUYON",
            "prefix": "MR.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.