Active NPI
Michelle Anne Waga-Cabunag, PT
- Physical Therapist
- Edison, NJ
National Provider Identifier
1841372307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40QA00740800
- Practice address
- 931 Amboy Ave
B
Edison, NJ 08837-2818 - Phone
- (732) 738-1366
- Fax
- (732) 738-1377
- NPI assigned
- Oct 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT40QA00740800 | NJ | Primary |
Addresses
Primary practice location
931 Amboy Ave
B
Edison, NJ 08837-2818
Mailing address
162 Briarwood Dr
North Brunswick, NJ 08902-5577
Phone (732) 348-8158
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT40QA00740800 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188604800000",
"number": "1841372307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 BRIARWOOD DR",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089025577",
"telephone_number": "732-348-8158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 AMBOY AVE",
"address_2": "B",
"city": "EDISON",
"state": "NJ",
"postal_code": "088372818",
"telephone_number": "732-738-1366",
"fax_number": "732-738-1377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGA-CABUNAG",
"first_name": "MICHELLE",
"middle_name": "ANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "PT40QA00740800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.