Active NPI
Jamie-Jean Ubaldo Flores, P.T.
- Physical Therapist
- Bayonne, NJ
National Provider Identifier
1629092507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4OQA01257800
- Practice address
- 813 Broadway Ave
Bayonne, NJ 07002 - Phone
- (201) 432-2300
- NPI assigned
- Jul 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 019293-1 | NY | |
| Physical Therapist | 225100000X | 4OQA01257800 | NJ | Primary |
Addresses
Primary practice location
813 Broadway Ave
Bayonne, NJ 07002
Mailing address
601 Sheridan Ave
Roselle, NJ 07203-2237
Phone (908) 445-8415
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4OQA01257800 | NJ | MD | Physical Therapist |
| 019293-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holsman Physical and Occupational Therapy, PC | Current | Accepting new patients | |
| Holsman Physical and Occupational Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565
15-01 Broadway
Ste 12
Fair Lawn, NJ 07410
Phone (201) 355-5199
711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555
1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566
Organizations & group practices 2
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.
-
- Physical Therapist
- Rahway, NJ
- NPI 1659079069
-
- Geriatric Physical Therapist
- Rahway, NJ
- NPI 1114276441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1629092507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 SHERIDAN AVE",
"city": "ROSELLE",
"state": "NJ",
"postal_code": "072032237",
"telephone_number": "908-445-8415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 BROADWAY AVE",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "07002",
"telephone_number": "201-432-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "JAMIE-JEAN",
"middle_name": "UBALDO",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019293-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "4OQA01257800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.