Active NPI
Joy Preciosa Quezon, PT
- Physical Therapist
- Passaic, NJ
National Provider Identifier
1871531095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01158200
- Practice address
- 77 Passaic Ave
Passaic, NJ 07055-4854 - Phone
- (973) 779-9886
- Fax
- (973) 779-2291
- NPI assigned
- Jun 2, 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 | 40QA01158200 | NJ | Primary |
Addresses
Primary practice location
77 Passaic Ave
Passaic, NJ 07055-4854
Mailing address
55 Edison Ave
Nutley, NJ 07110-1071
Phone (862) 215-9279
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 |
|---|---|---|---|
| 40QA01158200 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Prospect Chiropractice Center | Physical Therapist | Past | Accepting new patients |
| Wellness One of South Bergen | 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.
-
- Chiropractor
- East Rutherford, NJ
- NPI 1902858038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871531095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 EDISON AVE",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101071",
"telephone_number": "862-215-9279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 PASSAIC AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554854",
"telephone_number": "973-779-9886",
"fax_number": "973-779-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEZON",
"first_name": "JOY",
"middle_name": "PRECIOSA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01158200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.