Individual provider Active NPI

Czarina Tipon Ombajin, RPT

  • Physical Therapist
  • Elmwood Park, NJ
National Provider Identifier
1669425294
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01095700 Issued in NJ
Practice address
511 Boulevard
Elmwood Park, NJ 07407
Phone
(201) 796-5273
Fax
(201) 796-8645
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01095700 NJ Primary

Addresses

Primary practice location

511 Boulevard
Elmwood Park, NJ 07407

Mailing address

511 Boulevard
Elmwood Park, NJ 07407
Phone (201) 796-5273

Other names 1

  • Miss Czarina Tipon De Los Santos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041113000050 NJ Practitioner - Physical Therapist in Private Practice 5991769564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669425294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BOULEVARD",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "07407",
            "telephone_number": "201-796-5273",
            "fax_number": "201-796-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BOULEVARD",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "07407",
            "telephone_number": "201-796-5273",
            "fax_number": "201-796-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMBAJIN",
        "first_name": "CZARINA",
        "middle_name": "TIPON",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01095700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CZARINA",
            "last_name": "DE LOS SANTOS",
            "middle_name": "TIPON",
            "prefix": "MISS",
            "credential": "RPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elmwood Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.