Edilberto O Estomo Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00520400 Issued in NJ

Practice address

54 E Main St
Bergenfield, NJ 07621

Phone

(201) 874-9084

Fax

(973) 909-7656

NPI assigned

Jan 10, 2007

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Kimberly Physical Therapy Inc.

  • Physical Therapist
  • Bergenfield, NJ
  • NPI 1386842110
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1720138191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "07020",
            "telephone_number": "973-361-6054",
            "fax_number": "973-361-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 E MAIN ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "07621",
            "telephone_number": "201-874-9084",
            "fax_number": "973-909-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTOMO",
        "first_name": "EDILBERTO",
        "middle_name": "O",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00520400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Epstein, M.D.
• Kerry Joseph Escamilla, D.C.
• Iliana Espinal
• Rena Esposito, LMT
• Theresa C Esposito, PA-C
• Kimberly Estrada, OTR/L
• Every Piece Counts LLC
• Aviva Farbowitz
• Maxwell Farkas, PA-C
• Fastway Medical Transportation LLC

• Physical Therapist in Bergenfield, NJ
• Providers in Bergenfield, 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 Feb 22, 2008; 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.