Active NPI
Josephine Bunnicelli
- Physical Therapist
- Somerset, NJ
National Provider Identifier
1801076773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 025276-1
- Practice address
- 380 Demott LN
Somerset, NJ 08873-2762 - Phone
- (732) 873-2000
- NPI assigned
- Nov 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 025276-1 | NY | Primary |
| Physical Therapist | 225100000X | 40QA01080000 | NJ |
Addresses
Primary practice location
380 Demott LN
Somerset, NJ 08873-2762
Mailing address
197 8TH St
Belford, NJ 07718-1440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01080000 | NJ | MD | Physical Therapist |
| 025276-1 | NY | MD | Speech-Language Pathologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Staten Island, NY
- NPI 1003118829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1801076773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 8TH ST",
"city": "BELFORD",
"state": "NJ",
"postal_code": "077181440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 DEMOTT LN",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088732762",
"telephone_number": "732-873-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNNICELLI",
"first_name": "JOSEPHINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-08",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "025276-1",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01080000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.