Active NPI
Maeve Gordon Casado, M.S.P.T.
- Physical Therapist
- Edison, NJ
National Provider Identifier
1861674616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01034600
- Practice address
- 760 Amboy Ave
Edison, NJ 08837-3224 - Phone
- (732) 661-1121
- Fax
- (732) 661-1151
- NPI assigned
- Dec 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01034600 | NJ | Primary |
Addresses
Primary practice location
760 Amboy Ave
Edison, NJ 08837-3224
Mailing address
50 Forest Glen Dr
Highland Park, NJ 08904-1908
Phone (848) 391-2697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125766T8H | Other | NJ | MEDICARE |
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 |
|---|---|---|---|
| 024464 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical of NJ | Past | Accepting new patients | |
| Backsmart Wellness Center P.a. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Clifton, NJ
- NPI 1316724263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1861674616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 FOREST GLEN DR",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089041908",
"telephone_number": "848-391-2697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 AMBOY AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088373224",
"telephone_number": "732-661-1121",
"fax_number": "732-661-1151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASADO",
"first_name": "MAEVE",
"middle_name": "GORDON",
"name_prefix": "Ms.",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-04",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01034600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "125766T8H",
"state": "NJ"
}
],
"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 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.