Individual provider Active NPI

Norphine Antonano Jalando-on

  • Pediatric Physical Therapist
  • Glen Ridge, NJ
National Provider Identifier
1841622362
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
038955 Issued in NY
Practice address
926 Bloomfield Ave
1K
Glen Ridge, NJ 07028-1330
Phone
(561) 303-7357
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 038955 NY Primary
Physical Therapy Assistant 225200000X 160006409 IL
Geriatric Physical Therapist 2251G0304X 038955 NY
Orthopedic Physical Therapist 2251X0800X 038955 NY

Addresses

Primary practice location

926 Bloomfield Ave
1K
Glen Ridge, NJ 07028-1330

Mailing address

926 Bloomfield Ave
1K
Glen Ridge, NJ 07028-1330
Phone (561) 303-7357

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

LicenseStateTypeSpecialty
038955NYMDOrthopedic Physical Therapist
160006409ILMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1841622362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 BLOOMFIELD AVE",
            "address_2": "1K",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281330",
            "telephone_number": "561-303-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 BLOOMFIELD AVE",
            "address_2": "1K",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281330",
            "telephone_number": "561-303-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALANDO-ON",
        "first_name": "NORPHINE",
        "middle_name": "ANTONANO",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "038955",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160006409",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "038955",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "038955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.