Mylen Estanislao

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01125900 Issued in NJ

Practice address

9225 Kennedy Blvd
North Bergen, NJ 07047-5361

Phone

(201) 869-2707

NPI assigned

Jan 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Premier Health Center, P.C.

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1134170103
  NPD (past)
• Prospect Medical PC

  • Internal Medicine Physician
  • Hackensack, NJ
  • NPI 1346365905
  NPD (past)
• Therapro Medical and Surgical Rehabilitation, P.C.

  • Interventional Pain Medicine Physician
  • North Bergen, NJ
  • NPI 1326338781
  NPD (past)
• Therapro-Corf, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • North Bergen, NJ
  • NPI 1043497571
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1477730331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 EUCLID AVENUE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-869-2707",
            "fax_number": "201-869-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475361",
            "telephone_number": "201-869-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTANISLAO",
        "first_name": "MYLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01125900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Nicolas Escobar, M.D.
• Diana Espaillat, O.D
• Debbie Lyn Esperacion, LICENSED OPTICIAN
• Chasthely Espinal
• Dalila Yamile Espinal
• Joshian Estevez
• Everest Medical Center of North Bergen LLC
• Excel Medical Group PC
• Excel Medical Group PC
• Excel Medical Group PC

• Physical Therapist in North Bergen, NJ
• Providers in North Bergen, 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 Jan 23, 2008; 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.