Individual provider Active NPI

Mary Grace Claro Arabaca, PT

  • Physical Therapist
  • Edison, NJ
National Provider Identifier
1518227263
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01259600 Issued in NJ
Practice address
4 Ethel Rd Ste 403B
Edison, NJ 08817-2841
Phone
(732) 549-2030
NPI assigned
May 29, 2012
Last updated
May 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01259600 NJ Primary

Addresses

Primary practice location

4 Ethel Rd Ste 403B
Edison, NJ 08817-2841

Mailing address

39 Matthew Rd
Wayne, NJ 07470-3900
Phone (917) 412-3222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QA01259600NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1518227263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 MATTHEW RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703900",
            "telephone_number": "917-412-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ETHEL RD STE 403B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172841",
            "telephone_number": "732-549-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARABACA",
        "first_name": "MARY GRACE",
        "middle_name": "CLARO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01259600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.