Active NPI
Myriz Orate Fernandez
- Physical Therapist
- Woodstown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01670900
- Practice address
- 150 West Ave Apt 1202
Woodstown, NJ 08098-1147 - Phone
- (929) 386-8900
- NPI assigned
- Dec 27, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01670900 | NJ | Primary |
Addresses
Primary practice location
150 West Ave Apt 1202
Woodstown, NJ 08098-1147
Mailing address
150 West Ave Apt 1202
Woodstown, NJ 08098-1147
Phone (929) 386-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220428000602 | PA | Practitioner - Physical Therapist in Private Practice | 4688061310 | Reassigns benefits to 1 organization |
| I20250310001263 | NJ | Practitioner - Physical Therapist in Private Practice | 4688061310 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 N Broad St
Elizabeth, NJ 07208-3706
Phone (731) 366-3443
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Faculty Practice Plan Inc | Single Specialty | Current | Accepting new patients |
| Holsman Physical Therapy and Rehabilitation PC | Single Specialty | Current | Accepting new patients |
| Sportsmed PT LLC | Single Specialty | Current | Accepting new patients |
| Holsman Physical Therapy and Wellness PC | Single Specialty | Current | Accepting new patients |
| Holsman Physical and Occupational Therapy, PC | Single Specialty | Current | Accepting new patients |
| Temple Faculty Practice Plan, Inc | Single Specialty | Current | Accepting new patients |
| Home Therapy, LLC | Single Specialty | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Single Specialty | Current | Accepting new patients |
| Holsman Physical and Occupational Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
408 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 433-0732
1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565
1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901
333 N Broad St
Elizabeth, NJ 07208
Phone (731) 366-3443
266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798
711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555
1985 Springfield Ave
Maplewood, NJ 07040
Phone (701) 763-5010
902 N 5th St
#C104
Newark, NJ 07107
Phone (973) 910-2300
1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
11000 Roosevelt Blvd
Philadelphia, PA 19116
Phone (215) 214-6655
3500 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3656
3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433
Organizations & group practices 9
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.
-
- Geriatric Physical Therapist
- Rahway, NJ
- NPI 1114276441
NJ, Single Specialty
-
- Geriatric Physical Therapist
- Clifton, NJ
- NPI 1629350467
NJ, Single Specialty
-
- Geriatric Physical Therapist
- Cedar Grove, NJ
- NPI 1578816179
NJ, Single Specialty
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
PA, Single Specialty
-
- Physical Therapist
- Rahway, NJ
- NPI 1659079069
-
- Neonatal-Perinatal Medicine Physician
- Philadelphia, PA
- NPI 1750863619
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1588324933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 WEST AVE APT 1202",
"city": "WOODSTOWN",
"state": "NJ",
"postal_code": "080981147",
"telephone_number": "929-386-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 WEST AVE APT 1202",
"city": "WOODSTOWN",
"state": "NJ",
"postal_code": "080981147",
"telephone_number": "929-386-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "MYRIZ",
"middle_name": "ORATE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-27",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01670900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.