Active NPI
Lesley Anne Santiago, PT
- Physical Therapist
- Livingston, NJ
National Provider Identifier
1831119429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 027323
- Practice address
- 27 S Ashby Ave
Livingston, NJ 07039-2803 - Phone
- (973) 994-1320
- NPI assigned
- Jul 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 40QA01548100 | NJ | |
| Physical Therapist | 225100000X | 027323 | NY | Primary |
Addresses
Primary practice location
27 S Ashby Ave
Livingston, NJ 07039-2803
Mailing address
27 S Ashby Ave
Livingston, NJ 07039-2803
Phone (973) 994-1320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01548100 | NJ | MD | Physical Disabilities Residential Treatment Facility |
| 027323 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ardent Rehab of NJ LLC | Physical Therapist | Current | Accepting new patients |
Locations
2444 Morris Ave
Ste 218
Union, NJ 07083
Phone (973) 714-1152
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1831119429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 S ASHBY AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070392803",
"telephone_number": "973-994-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 S ASHBY AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070392803",
"telephone_number": "973-994-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "LESLEY",
"middle_name": "ANNE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "NJ",
"license": "40QA01548100",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "027323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.