Active NPI
Suzanne Rose Ciok, PT, DPT
- Physical Therapist
- Bayonne, NJ
National Provider Identifier
1629581368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01764200
- Practice address
- 28 E 22ND St Ste 1
Bayonne, NJ 07002-3709 - Phone
- (862) 223-8002
- NPI assigned
- Nov 15, 2017
- 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 | 40QA01764200 | NJ | Primary |
Addresses
Primary practice location
28 E 22ND St Ste 1
Bayonne, NJ 07002-3709
Mailing address
29 Constitution Way
Jersey City, NJ 07305-5461
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 |
|---|---|---|---|
| 40QA01764200 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1629581368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 CONSTITUTION WAY",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073055461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 E 22ND ST STE 1",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023709",
"telephone_number": "862-223-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIOK",
"first_name": "SUZANNE",
"middle_name": "ROSE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-15",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01764200",
"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 Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.