Bernadette Marcelo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTA40QB00250900 Issued in NJ

Practice address

590 Anderson Ave
Cliffside Park, NJ 07010-1721

Phone

(201) 941-8667

NPI assigned

Jun 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437353760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 PALISADE AVE",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076051935",
            "telephone_number": "201-461-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101721",
            "telephone_number": "201-941-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELO",
        "first_name": "BERNADETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PTA40QB00250900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE NUMBER",
            "identifier": "PTA40QB00250900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Ludman, LCSW
• Itza Lugo
• Colleen Audra Makowsky, MA, LPC
• Gertrud Caroline Malmberg, M.D.
• Helene D Manno, DPM
• Eric Margolis
• Rafael Aaron Marinelli, PT, DPT, L.A.C.
• Jesse Markowitz, PA
• Jeanette Martucci, PSY.D
• Erisa Maska, APN

• Physical Therapist in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.