Active NPI
Omar Garib
- Physical Therapy Assistant
- Blairstown, NJ
National Provider Identifier
1801262894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 40QB00249500
- Practice address
- 145 State Park Rd
Blairstown, NJ 07825-4206 - Phone
- (973) 449-7385
- NPI assigned
- Aug 13, 2015
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 40QB00249500 | NJ | Primary |
| Physical Therapy Assistant | 225200000X | 2102738 | TX |
Addresses
Primary practice location
145 State Park Rd
Blairstown, NJ 07825-4206
Mailing address
347 Rutgers LN
Parsippany, NJ 07054-4228
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QB00249500 | NJ | MD | Physical Therapy Assistant |
| 2102738 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1801262894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 RUTGERS LN",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070544228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 STATE PARK RD",
"city": "BLAIRSTOWN",
"state": "NJ",
"postal_code": "078254206",
"telephone_number": "973-449-7385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARIB",
"first_name": "OMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-13",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00249500",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2102738",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blairstown, NJ
- Suzanne Rae Deshchidn, LCSW
- Eckerd Corporation (Rite Aid Pharmacy 10427)
- Edward Kramer Jr
- Christopher John Fazio, V.M.D.
- Forest Manor Management, LLC
- Sandy Giacobbe, DC
- Joaquin Emilio Gonzalez-Melquiades, PA-C
- Great Atlantic & Pacific Tea Company Inc (A & P Pharmacy)
- Paul A Habel, RN
- John Victor Harrington, DC, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.