Organization Active NPI

Caldwell Pediatric Therapy Center

  • Physical Therapy Clinic/Center
  • West Caldwell, NJ
National Provider Identifier
1568820488
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CALDWELL PEDIATRIC THERAPY CENTER
Practice address
1129 Bloomfield Ave Ste 201
West Caldwell, NJ 07006-7123
Phone
(973) 575-3321
NPI assigned
Feb 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Jason Campbell
Title
Owner
Phone
(973) 575-3321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1129 Bloomfield Ave Ste 201
West Caldwell, NJ 07006-7123

Mailing address

1129 Bloomfield Ave Ste 201
West Caldwell, NJ 07006-7123

National Provider Directory

National Provider Directory

Locations

1129 Bloomfield Ave
Ste 201
West Caldwell, NJ 07006
Phone (973) 575-3321

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1568820488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 BLOOMFIELD AVE STE 201",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 BLOOMFIELD AVE STE 201",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067123",
            "telephone_number": "973-575-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL PEDIATRIC THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-575-3321"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.