Active NPI
Carolyn Cheryl Kaplan, P.T.
- Specialist
- Teaneck, NJ
National Provider Identifier
1417215864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 40QA00637600
- Practice address
- 963 Greenwood Rd
Teaneck, NJ 07666-6630 - Phone
- (917) 449-4187
- NPI assigned
- Apr 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 014632-1 | NY | |
| Specialist | 174400000X | 40QA00637600 | NJ | Primary |
Addresses
Primary practice location
963 Greenwood Rd
Teaneck, NJ 07666-6630
Mailing address
963 Greenwood Rd
Teaneck, NJ 07666-6630
Phone (917) 449-4187
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00637600 | NJ | MD | Specialist |
| 014632-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1417215864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "963 GREENWOOD RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076666630",
"telephone_number": "917-449-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 GREENWOOD RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076666630",
"telephone_number": "917-449-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPLAN",
"first_name": "CAROLYN",
"middle_name": "CHERYL",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-23",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "014632-1",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "40QA00637600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.