Organization Active NPI

De la Cerna PT,PC

  • Physical Therapy Clinic/Center
  • Clifton, NJ
National Provider Identifier
1770805541
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00903000 Issued in NJ
Legal business name
DE LA CERNA PT,PC
Doing business as
de la Cerna,PT,PC
Practice address
463 Clifton Avenue
Clifton, NJ 07011
Phone
(973) 546-2400
Fax
(973) 546-2441
NPI assigned
Feb 22, 2010
Last updated
Feb 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James De la Cerna
Title
PT/President
Phone
(973) 752-8953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA00903000 NJ Primary

Addresses

Primary practice location

463 Clifton Avenue
Clifton, NJ 07011

Mailing address

98 Merkel Drive
Bloomfield, NJ 07003

Other names 1

  • de la Cerna,PT,PC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1770805541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MERKEL DRIVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 CLIFTON AVENUE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-546-2400",
            "fax_number": "973-546-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA CERNA PT,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "DE LA CERNA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PT/PRESIDENT",
        "authorized_official_telephone_number": "973-752-8953"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00903000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "de la Cerna,PT,PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.