Challiz Anne Entrina Punla, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01177400 Issued in NJ

Practice address

1180 Raritan Rd
Clark, NJ 07066-1311

Phone

(848) 308-4515

Fax

(848) 308-4516

NPI assigned

Oct 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hackensack Meridian Outpatient Services, Inc.

  dba Hackensack Meridian Rehabilitation Clark

  • Physical Therapist
  • Clark, NJ
  • NPI 1982381026
  Medicare reassignment NPD
• Hackensack Meridian Outpatient Services, Inc.

  dba Hackensack Meridian Imaging Freehold

  • Radiology Clinic/Center
  • Freehold, NJ
  • NPI 1396569125
  NPD
• HMH Hospitals Corporation

  dba Meds to Beds Pharmacy

  • Clinic Pharmacy
  • Hackensack, NJ
  • NPI 1659139376
  NPD (past)

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1871315390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS ROAD",
            "address_2": "BLDG. 2, SUITE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661311",
            "telephone_number": "848-308-4515",
            "fax_number": "848-308-4516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Essex St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076018566",
            "country_code": "US",
            "telephone_number": "551-996-3830 x71185",
            "fax_number": "210-498-1201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUNLA",
        "first_name": "CHALLIZ ANNE",
        "middle_name": "ENTRINA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01177400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Occupational & Physical Therapy, PLLC
• Promptcare Home Infusion, Inc.
• Elizabeth Ann Prudent, FNP-BC
• Anne Michele Puglisi, AU.D.
• Jerome Pumo Jr., D.O.,FACOFP
• Neha K Puwar, PHARMD
• Andrew Leon Quiros, RPH
• Paola Caeiro Raguseo, R.N., APN-BC
• Ishrat Rahman, PHARM.D.
• Divya Rajasekaran, M.D.

• Physical Therapist in Clark, NJ
• Providers in Clark, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.

Verify at the official NPI Registry.