Active NPI
Jenina Mae Villasin, P.T.
- Orthopedic Physical Therapist
- West New York, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 40QA00917100
- Practice address
- 5300 Bergenline Ave Ste 3
West New York, NJ 07093-5595 - Phone
- (866) 965-2253
- NPI assigned
- Sep 28, 2007
- Last updated
- Apr 13, 2025
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 40QA00917100 | NJ | Primary |
Addresses
Primary practice location
5300 Bergenline Ave Ste 3
West New York, NJ 07093-5595
Mailing address
123 Mitchell St
West Orange, NJ 07052-4566
Phone (972) 669-1690
Other practice location 1
30 W Century Rd
Ste. 330
Paramus, NJ 07652-1433
Phone (201) 261-2000 ext. 509
Other practice location 2
625 Springfield Ave
Berkeley Heights, NJ 07922-1012
Phone (848) 482-7230
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, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 Springfield Ave
Berkeley Heights, NJ 07922-1012
Phone (201) 600-5898
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Services | Orthopedic | Current | Accepting new patients |
Locations
625 Springfield Ave
Berkeley Heights, NJ 07922
Phone (201) 600-5898
Organizations & group practices 2
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.
-
- Orthopedic Physical Therapist
- Chatham, NJ
- NPI 1275958449
-
- Physical Therapy Clinic/Center
- Jersey City, NJ
- NPI 1467524033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744502400000",
"number": "1790972180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 MITCHELL ST",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524566",
"telephone_number": "972-669-1690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 BERGENLINE AVE STE 3",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070935595",
"telephone_number": "866-965-2253"
}
],
"practiceLocations": [
{
"address_1": "30 W Century Rd",
"address_2": "Ste. 330",
"address_purpose": "LOCATION",
"city": "Paramus",
"state": "NJ",
"postal_code": "076521433",
"country_code": "US",
"telephone_number": "201-261-2000 x509",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "625 Springfield Ave",
"address_purpose": "LOCATION",
"city": "Berkeley Heights",
"state": "NJ",
"postal_code": "079221012",
"country_code": "US",
"telephone_number": "848-482-7230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLASIN",
"first_name": "JENINA",
"middle_name": "MAE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-28",
"last_updated": "2025-04-13",
"certification_date": "2025-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA00917100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2025; 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.