Active NPI
Ingrid Pais
- Physical Therapist
- Cedar Grove, NJ
National Provider Identifier
1770930752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00396200
- Practice address
- 388 Pompton Ave
Cedar Grove, NJ 07009-1814 - Phone
- (973) 228-0500
- Fax
- (973) 228-0501
- NPI assigned
- May 19, 2016
- 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 | 40QA00396200 | NJ | Primary |
Addresses
Primary practice location
388 Pompton Ave
Cedar Grove, NJ 07009-1814
Mailing address
388 Pompton Ave
Cedar Grove, NJ 07009-1814
Phone (973) 228-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40QA00396200 | Other | NJ | PHYSICAL THERAPY STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00396200 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1770930752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 POMPTON AVE",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091814",
"telephone_number": "973-228-0500",
"fax_number": "973-228-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 POMPTON AVE",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091814",
"telephone_number": "973-228-0500",
"fax_number": "973-228-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIS",
"first_name": "INGRID",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00396200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY STATE LICENSE",
"identifier": "40QA00396200",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Grove, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.