Myrna M Fernandez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00075600 Issued in NJ

Practice address

Bacharach Institute
61 West Jim Leeds Rd
Pomona, NJ 08240

Phone

(609) 652-7000

NPI assigned

May 15, 2007

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

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508072422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MAIN ST",
            "address_2": "232B",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BACHARACH INSTITUTE",
            "address_2": "61 WEST JIM LEEDS RD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "08240",
            "telephone_number": "609-652-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MYRNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00075600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline M. Edwards, APN
• Teresa Enterlante, N.P.
• Colette Estrada, APN
• Olawale Fadugba, MD
• Bret Farrow-Cypel, DO
• Patricia J Finkbinder, RN, RNFA, CRNP
• Jenna Fratterelli
• Mauricio Garrido, M.D.
• David R. Gayeski, M.D,
• Allison Giegerich

• Physical Therapy Assistant in Pomona, NJ
• Providers in Pomona, NJ by specialty
• Physical Therapy Assistant in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.