Active NPI
Carla Enriquez, PT
- Physical Therapist
- Florham Park, NJ
National Provider Identifier
1689683237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01133300
- Practice address
- 171 Ridgedale Ave
Suite a
Florham Park, NJ 07932-1764 - Phone
- (973) 377-6327
- Fax
- (973) 408-9055
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 40QA01133300 | NJ | Primary |
Addresses
Primary practice location
171 Ridgedale Ave
Suite a
Florham Park, NJ 07932-1764
Mailing address
171 Ridgedale Ave
Suite a
Florham Park, NJ 07932-1764
Phone (973) 377-6327
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NON-PAR | Other | NJ | ANTHEM |
| 2701321 | Other | NJ | PIN GHI |
| J31494 | Other | NJ | PIN HEALTHNET |
| 2700276000 | Other | NJ | PIN AMERIHEALTH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689683237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 RIDGEDALE AVE",
"address_2": "SUITE A",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321764",
"telephone_number": "973-377-6327",
"fax_number": "973-408-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 RIDGEDALE AVE",
"address_2": "SUITE A",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321764",
"telephone_number": "973-377-6327",
"fax_number": "973-408-9055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIQUEZ",
"first_name": "CARLA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01133300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "NON-PAR",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN GHI",
"identifier": "2701321",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN HEALTHNET",
"identifier": "J31494",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN AMERIHEALTH",
"identifier": "2700276000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.