Individual provider Active NPI

B Irene Wexler, PT, MS

  • Specialist
  • Clifton, NJ
National Provider Identifier
1457551434
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA00361000 Issued in NJ
Practice address
1481 Main Ave
Clifton, NJ 07011-2127
Phone
(973) 772-2600
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40QA00361000 NJ Primary

Addresses

Primary practice location

1481 Main Ave
Clifton, NJ 07011-2127

Mailing address

11-09 Bellair Ave
Fair Lawn, NJ 07410-1659
Phone (201) 791-7133

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
40QA00361000NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Passaic County Elks Cerebral Palsy Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1457551434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-09 BELLAIR AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101659",
            "telephone_number": "201-791-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112127",
            "telephone_number": "973-772-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEXLER",
        "first_name": "B",
        "middle_name": "IRENE",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00361000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.