Individual provider Active NPI

Timothy J Caulfield, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Kendall Park, NJ
National Provider Identifier
1780181800
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
40QA01783100 Issued in NJ
Practice address
3228 State Route 27 Ste 2a
Kendall Park, NJ 08824-1524
Phone
(732) 297-0032
Fax
(732) 297-0558
NPI assigned
Apr 6, 2018
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 40QA01783100 NJ Primary

Addresses

Primary practice location

3228 State Route 27 Ste 2a
Kendall Park, NJ 08824-1524

Mailing address

3228 State Route 27 Ste 2a
Kendall Park, NJ 08824-1524
Phone (732) 297-0032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180515000483 NJ Practitioner - Physical Therapist in Private Practice 2062776354 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01783100NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA CurrentSince Mar 16, 2020 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Mar 16, 2020 Accepting new patients
Trinity Rehab Somerset PA Current Accepting new patients
Jersey Physical Therapy of Princeton-Plainsboro CurrentSince Apr 2, 2018 Accepting new patients
Jersey Physical Therapy of Milltown/East Brunswick CurrentSince Apr 2, 2018 Accepting new patients
Ipta Clinical, LLC PastSince Apr 2, 2018 Accepting new patients

Locations

180 Tices Ln
East Brunswick, NJ 08816
Phone (732) 236-1793

3228 State Route 27
Kendall Park, NJ 08824
Phone (732) 297-0032

3228 State Route 27
Ste 2A
Kendall Park, NJ 08824
Phone (732) 297-0032

3 Liberty St
Ste 1032
Plainsboro, NJ 08536
Phone (609) 785-5386

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1780181800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 STATE ROUTE 27 STE 2A",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241524",
            "telephone_number": "732-297-0032",
            "fax_number": "732-297-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 STATE ROUTE 27 STE 2A",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241524",
            "telephone_number": "732-297-0032",
            "fax_number": "732-297-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULFIELD",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA01783100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.