Jose Carlos Juliano Alconaba, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40QAOO673900 Issued in NJ

Practice address

2023 Ridings Dr
Williamstown, NJ 08094-8737

Phone

(856) 582-4665

NPI assigned

May 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679785950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 RIDINGS DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948737",
            "telephone_number": "856-582-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 RIDINGS DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948737",
            "telephone_number": "856-582-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCONABA",
        "first_name": "JOSE CARLOS",
        "middle_name": "JULIANO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QAOO673900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Williamstown, NJ
• Providers in Williamstown, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.