Individual provider Active NPI

Judith B Price, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Basking Ridge, NJ
National Provider Identifier
1467582643
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MB05044500 Issued in NJ
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6035906MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000037 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - General Surgery 7719003615 Receives reassigned benefits from 1 practitioner
Practice locations: Cranford, NJ; Clark, NJ; Chatham, NJ; Berkeley Heights, NJ; Basking Ridge, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB05044500NJMDPhysical 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.

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

Sources for this page

Verify at the official NPI Registry.