Active NPI
Renu M Cheng, PT, MPT
- Pediatric Physical Therapist
- Watchung, NJ
National Provider Identifier
1609168418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT40QA01016300
- Practice address
- 170 Hill Hollow Road
Watchung, NJ 07069 - Phone
- (973) 637-0264
- NPI assigned
- May 11, 2011
- Last updated
- Aug 20, 2012
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT40QA01016300 | NJ | Primary |
Addresses
Primary practice location
170 Hill Hollow Road
Watchung, NJ 07069
Mailing address
170 Hill Hollow Road
Watchung, NJ 07069
Phone (973) 637-0264
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT40QA01016300 | NJ | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345420800000",
"number": "1609168418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 HILL HOLLOW ROAD",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "07069",
"telephone_number": "973-637-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 HILL HOLLOW ROAD",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "07069",
"telephone_number": "973-637-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "RENU",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PT, MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-11",
"last_updated": "2012-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NJ",
"license": "PT40QA01016300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watchung, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.