Active NPI
Carla S Moldes, PT
- Physical Therapist
- Lincoln Park, NJ
National Provider Identifier
1730312505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01055800
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01055800 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topnotch Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Exemplary Home Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Functional Home Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Bloomfield Total Health Center | Physical Therapist | Current | Accepting new patients |
| Visiting Therapy Services LLC | Physical Therapist | Past | 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.
-
- Rehabilitation Clinic/Center
- Belleville, NJ
- NPI 1235823311
Physical Therapist
-
- Physical Therapist
- Clifton, NJ
- NPI 1013481480
-
- Physical Therapist
- Belleville, NJ
- NPI 1053085092
-
- Chiropractor
- Bloomfield, NJ
- NPI 1639109564
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.