Individual provider Active NPI

Jonathan Bernard Hlasney, PTA

  • Physical Therapy Assistant
  • Piscataway, NJ
National Provider Identifier
1457867624
Registry record updated Dec 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QB00343200 Issued in NJ
Practice address
10 Sterling Dr
Piscataway, NJ 08854-4911
Phone
(732) 917-2900
NPI assigned
Dec 23, 2017
Last updated
Dec 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QB00343200 NJ Primary

Addresses

Primary practice location

10 Sterling Dr
Piscataway, NJ 08854-4911

Mailing address

57 Allens Corner Rd
Flemington, NJ 08822-5622
Phone (908) 752-0934

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

LicenseStateTypeSpecialty
40QB00343200NJMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1513987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513987200000",
    "number": "1457867624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 ALLENS CORNER RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225622",
            "telephone_number": "908-752-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 STERLING DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544911",
            "telephone_number": "732-917-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLASNEY",
        "first_name": "JONATHAN",
        "middle_name": "BERNARD",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-23",
        "last_updated": "2017-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00343200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2017; 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.