Elmer Magana

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00194000 Issued in NJ

Practice address

807 McGillvray PL
Linden, NJ 07036-1349

Phone

(908) 764-1227

NPI assigned

Apr 4, 2014

Last updated

Apr 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1417375585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 MCGILLVRAY PL",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070361349",
            "telephone_number": "908-764-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 MCGILLVRAY PL",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070361349",
            "telephone_number": "908-764-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANA",
        "first_name": "ELMER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00194000",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "004837-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc (Target Optical #1969)
• Kristen Mary Luzzi, P.A.-C.
• M.Drucker Counseling Services, LLC
• Richard P Mackessy, MD
• Megan Madara, ANP-BC
• Magic Smile Dental PC
• Joseph Oscar Lalisan Maglasang Jr., PHARMD, RPH.
• Tye Quanique Magloire, MS, OTR/L, CLT
• Vasudev Naraindas Makhija, M.D.
• Migdalia Maldonado

• Physical Therapy Assistant in Linden, NJ
• Providers in Linden, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.