Active NPI
Carla M Difelice, MSPT
- Physical Therapist
- Waldwick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QA05979
- Practice address
- 168 Franklin Tpke
Suite 103B
Waldwick, NJ 07463-1848 - Phone
- (201) 493-7440
- Fax
- (201) 493-7445
- NPI assigned
- Jul 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 | QA05979 | NJ | Primary |
Addresses
Primary practice location
168 Franklin Tpke
Suite 103B
Waldwick, NJ 07463-1848
Mailing address
168 Franklin Tpke
Suite 103B
Waldwick, NJ 07463-1848
Phone (201) 493-7440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070406000333 | NJ | Practitioner - Physical Therapist in Private Practice | 4587768270 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Occupational and Physical Therapy, PLLC
Practice addresses (Care Compare)
1 Greenwood Ave
Montclair, NJ 07042-3649
Phone (973) 746-2424
668 Wyckoff Ave
Wyckoff, NJ 07481-1430
Phone (201) 891-0411
680 Kinderkamack Rd
Oradell, NJ 07649-1600
Phone (201) 225-0100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QA05979 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rothman Orthopaedics of New Jersey, LLC | Current | Accepting new patients | |
| Rothman Institute of New Jersey, P.a. | Current | Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
999 Route 73 N
Ste 401
Marlton, NJ 08053
1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424
776 N Route 17
Paramus, NJ 07652
Phone (201) 225-9222
68 River Rd
Summit, NJ 07901
Phone (908) 277-0800
168 Franklin Tpke
Ste 103B
Waldwick, NJ 07463
Phone (201) 493-7440
668 Wyckoff Ave
Wyckoff, NJ 07481
Phone (201) 891-0400
576 Broadhollow Rd
Melville, NY 11747
925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738
Organizations & group practices 5
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.
-
- Occupational Therapist
- Sicklerville, NJ
- NPI 1215487772
NJ, Physical Therapist
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
-
- Occupational Therapist
- Waldwick, NJ
- NPI 1427506880
Physical Therapist
-
- Prosthetic/Orthotic Supplier
- Manahawkin, NJ
- NPI 1831611243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245283200000",
"number": "1619906849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 FRANKLIN TPKE",
"address_2": "SUITE 103B",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631848",
"telephone_number": "201-493-7440",
"fax_number": "201-493-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 FRANKLIN TPKE",
"address_2": "SUITE 103B",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631848",
"telephone_number": "201-493-7440",
"fax_number": "201-493-7445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIFELICE",
"first_name": "CARLA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2009-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QA05979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldwick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.