Individual provider Active NPI

Meliza Carmela Umali Veneracion-Fule, PT

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1508945601
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01086400 Issued in NJ
Practice address
242 10TH St
Jersey City, NJ 07302-1406
Phone
(201) 795-2499
NPI assigned
Nov 2, 2006
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01086400 NJ Primary
Physical Therapist 225100000X 023736-1 NY

Addresses

Primary practice location

242 10TH St
Jersey City, NJ 07302-1406

Mailing address

314 Linden Ave
Jersey City, NJ 07305-1974
Phone (201) 467-6207

Other names 1

  • Meliza Carmela Umali Veneracion Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170706000276 NJ Practitioner - Physical Therapist in Private Practice 6507135639 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01086400NJMDPhysical Therapist
023736-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excellent Homecare of NJ LLC Physical Therapist CurrentSince Dec 22, 2019 Accepting new patients
Visiting Therapy Services LLC Physical Therapist CurrentSince Feb 1, 2015 Accepting new patients

Locations

271 US Highway 46
Ste H111
Fairfield, NJ 07004
Phone (877) 887-3574

188 Newark Pompton Tpke
Little Falls, NJ 07424
Phone (877) 887-3574

40 Galesi Dr
Ste 5B
Wayne, NJ 07470
Phone (973) 837-8722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508945601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 LINDEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051974",
            "telephone_number": "201-467-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 10TH ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021406",
            "telephone_number": "201-795-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENERACION-FULE",
        "first_name": "MELIZA CARMELA",
        "middle_name": "UMALI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01086400",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023736-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELIZA CARMELA",
            "last_name": "VENERACION",
            "middle_name": "UMALI",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jersey City, NJ

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

Verify at the official NPI Registry.