Krystal Coke, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

40QA01466400 Issued in NJ

Practice address

196 W Madison Ave Apt 11B
Dumont, NJ 07628-3363

Phone

(718) 541-2444

NPI assigned

Feb 18, 2025

Last updated

Feb 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1881499333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 W MADISON AVE APT 11B",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283363",
            "telephone_number": "718-541-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 W MADISON AVE APT 11B",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283363",
            "telephone_number": "718-541-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKE",
        "first_name": "KRYSTAL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA01466400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Cardona-Garcia, RN
• Jennifer Casey, RDH
• Edward Charles Caslin, M.S.W.
• Rajeshree Prashant Chinchankar, M.D.
• Virginia Clark, RN
• Community Options, Inc
• Community Options, Inc.
• Jodi F Conway, LCADC
• Viktor Cortese
• Perfecto Cortorreal, MSED

• Physical Medicine & Rehabilitation Physician in Dumont, NJ
• Providers in Dumont, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.