Active NPI
Judith B Price, D.O.
- Physical Medicine & Rehabilitation Physician
- Basking Ridge, NJ
National Provider Identifier
1467582643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 25MB05044500
- Practice address
- 5 Lyons Mall
PMB 342
Basking Ridge, NJ 07920-1928 - Phone
- (908) 464-3636
- NPI assigned
- Mar 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MB05044500 | NJ | Primary |
Addresses
Primary practice location
5 Lyons Mall
PMB 342
Basking Ridge, NJ 07920-1928
Mailing address
19 Lenape CT
Basking Ridge, NJ 07920-2677
Phone (908) 464-3636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6035906 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB05044500 | NJ | MD | Physical Medicine & Rehabilitation Physician |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1003109208
NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467582643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 LENAPE CT",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079202677",
"telephone_number": "908-464-3636",
"fax_number": "908-464-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 LYONS MALL",
"address_2": "PMB 342",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079201928",
"telephone_number": "908-464-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "JUDITH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MB05044500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6035906",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Basking Ridge, NJ
- Frank Francis Polverino Jr., DC
- Meera Pradeep, PA-C
- Precise First Assist, LLC
- Anne Michelle Prejean, PHD, RD, LD
- Christina Natale Press
- Primary Care Partners LLC (Bernards Family Practice)
- Primary Care Partners, LLC (Bernards Family Practice- Primary Care Partners Affiliate)
- Psychological Services of NJ PC
- Samia Qadri, LPC
- Elizabeth A Quigley, MD
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.