Active NPI
Marissa Aquino Mejia, PT
- Physical Therapist
- Clifton, NJ
National Provider Identifier
1790099406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01258200
- Practice address
- 251 Clifton Ave
Clifton, NJ 07011-1961 - Phone
- (973) 477-7227
- NPI assigned
- Aug 5, 2010
- 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 | 40QA01258200 | NJ | Primary |
Addresses
Primary practice location
251 Clifton Ave
Clifton, NJ 07011-1961
Mailing address
296 Division Ave
Belleville, NJ 07109-2119
Phone (973) 477-7227
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1790099406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 DIVISION AVE",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071092119",
"telephone_number": "973-477-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111961",
"telephone_number": "973-477-7227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "MARISSA",
"middle_name": "AQUINO",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01258200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 5, 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.