Individual provider Active NPI

Carla S Moldes, PT

  • Physical Therapist
  • Lincoln Park, NJ
National Provider Identifier
1730312505
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01055800 Issued in NJ
Practice address
503 Pinebrook Road
Lincoln Park, NJ 07305
Phone
(973) 317-7500
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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 40QA01055800 NJ Primary

Addresses

Primary practice location

503 Pinebrook Road
Lincoln Park, NJ 07305

Mailing address

8 Donald St Apt a
Bloomfield, NJ 07003-6114
Phone (862) 220-0217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091124000460 NJ Practitioner - Physical Therapist in Private Practice 8628117025 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exemplary Home Therapy Services LLCGroup PAC ID 0840658084, 20 clinicians

Practice addresses (Care Compare)

1616 Hamilton St
Belleville, NJ 07109-5346
Phone (856) 506-6281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01055800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Topnotch Therapy Services LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Exemplary Home Therapy Services LLC Physical Therapist CurrentSince May 25, 2024 Accepting new patients
Functional Home Therapy Services LLC Physical Therapist CurrentSince May 25, 2024 Accepting new patients
Bloomfield Total Health Center Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Visiting Therapy Services LLC Physical Therapist PastSince Oct 23, 2025 Accepting new patients
Precision Care LLC Past Accepting new patients

Locations

1129 Broad St
Bloomfield, NJ 07003
Phone (973) 338-3620

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1730312505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DONALD ST APT A",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070036114",
            "telephone_number": "862-220-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 PINEBROOK ROAD",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "07305",
            "telephone_number": "973-317-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDES",
        "first_name": "CARLA",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01055800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.