Individual provider Active NPI

Geraldine A Retuya, P.T.

  • Orthopedic Physical Therapist
  • Toms River, NJ
National Provider Identifier
1427310242
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA01222100 Issued in NJ
Practice address
530 Lakehurst Rd
Suite 101
Toms River, NJ 08755-8063
Phone
(732) 349-8454
Fax
(732) 349-0259
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA01222100 NJ Primary

Addresses

Primary practice location

530 Lakehurst Rd
Suite 101
Toms River, NJ 08755-8063

Mailing address

530 Lakehurst Rd
Suite 101
Toms River, NJ 08755-8063
Phone (732) 349-8454

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
40QA01222100NJMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1427310242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LAKEHURST RD",
            "address_2": "SUITE 101",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558063",
            "telephone_number": "732-349-8454",
            "fax_number": "732-349-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LAKEHURST RD",
            "address_2": "SUITE 101",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558063",
            "telephone_number": "732-349-8454",
            "fax_number": "732-349-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETUYA",
        "first_name": "GERALDINE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01222100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.