Eduardo Mauricio Trujillo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01259300 Issued in NJ

Practice address

504 Washington Ave
Kenilworth, NJ 07033-1200

Phone

(732) 970-6990

Fax

(732) 719-2311

NPI assigned

Oct 25, 2007

Last updated

Mar 8, 2024By the provider in NPPES

Sex

Male

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

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Stony Brook, School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• MGT Physical Therapy LLC

  • Physical Disabilities Residential Treatment Facility
  • South Amboy, NJ
  • NPI 1033547005
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1881873966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 STATE ROUTE 34 B",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077471947",
            "telephone_number": "732-444-4859",
            "fax_number": "732-444-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 WASHINGTON AVE",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331200",
            "telephone_number": "732-970-6990",
            "fax_number": "732-719-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "EDUARDO",
        "middle_name": "MAURICIO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01259300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Smeriglio, MT
• David Allen Steele, DMD
• John T Strony, M.D.
• The Arc of Union County
• The Marques Center
• Gary Udasin, M.D.
• Union County Nephrology Associates
• Laurie Wade, PHARMD
• Hetty Anne Waskin, M.D.
• William J Derkasch Cyrus G Dehkan PTRS (Derkasch & Dehkan DDS)

• Physical Therapist in Kenilworth, NJ
• Providers in Kenilworth, 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 Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.