Karen Canellos

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00665800 Issued in NJ

Practice address

347 Elisa Dr
Englewood Cliffs, NJ 07632-1721

Phone

(201) 661-0811

NPI assigned

Sep 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Home Rehab Consultants, LLC

  • Physical Therapist
  • Englewood Cliffs, NJ
  • NPI 1750458782
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1669572103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RIVER RD APT H5",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201370",
            "telephone_number": "201-390-4070",
            "fax_number": "201-569-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 ELISA DR",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321721",
            "telephone_number": "201-661-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANELLOS",
        "first_name": "KAREN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00665800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Michael Brown, D.M.D.
• Melanie Jordan Burgos, MD
• Chonghwan Byun, D.D.S.
• Sammantha Cacioppo-Cruz, PA
• Shelby Allyn Camhi, MA CCC-SLP
• Natalie A Capan, D.M.D
• Roy Capellaro, P.T.
• Aaron Matthew Capuano, M.D.
• Cardiology Consultants of Englewood Cliffs, PC
• Casa Pediatrics LLC

• Physical Therapist in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.