Active NPI
Meliza Carmela Umali Veneracion-Fule, PT
- Physical Therapist
- Jersey City, NJ
National Provider Identifier
1508945601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01086400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01086400 | NJ | MD | Physical Therapist |
| 023736-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excellent Homecare of NJ LLC | Physical Therapist | Current | Accepting new patients |
| Visiting Therapy Services LLC | Physical Therapist | Current | 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.
-
- Home Health Agency
- Fairfield, NJ
- NPI 1578852257
NJ, Physical Therapist
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.