Active NPI
Ricky Ngotianco
- Geriatric Physical Therapist
- Cedar Grove, NJ
National Provider Identifier
1881435477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 40QA00975400
- Practice address
- 77 W Lindsley Rd
Cedar Grove, NJ 07009-1002 - Phone
- (973) 284-1516
- NPI assigned
- Jun 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 40QA00975400 | NJ | Primary |
Addresses
Primary practice location
77 W Lindsley Rd
Cedar Grove, NJ 07009-1002
Mailing address
77 W Lindsley Rd
Cedar Grove, NJ 07009-1002
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00975400 | NJ | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1881435477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W LINDSLEY RD",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W LINDSLEY RD",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091002",
"telephone_number": "973-284-1516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGOTIANCO",
"first_name": "RICKY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NJ",
"license": "40QA00975400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Grove, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.