Active NPI
Marie Cecilio
- Physical Therapist
- Cedar Grove, NJ
National Provider Identifier
1881946036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0QA0934800
- Practice address
- 81 Oak Dr
Cedar Grove, NJ 07009-1033 - Phone
- (973) 704-5758
- NPI assigned
- Oct 12, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0QA0934800 | NJ | Primary |
Addresses
Primary practice location
81 Oak Dr
Cedar Grove, NJ 07009-1033
Mailing address
20 Vermeer Dr Apt 18
South Amboy, NJ 08879-2339
Phone (973) 987-7772
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 |
|---|---|---|---|
| 0QA0934800 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1881946036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 VERMEER DR APT 18",
"city": "SOUTH AMBOY",
"state": "NJ",
"postal_code": "088792339",
"telephone_number": "973-987-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 OAK DR",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091033",
"telephone_number": "973-704-5758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CECILIO",
"first_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-12",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "0QA0934800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Grove, NJ
- Care Chiropractic LLC
- Heather Carew, LCSW, BCBA
- Lisa Marie Cassilli, LPC, NCC, SAC
- Gabrielle Castelli
- Monica Castello
- Cedar Grove Board of Education
- Cedar Grove Family Chiropractic Center, LLC
- Cedar Grove Family Chiropractic LLC
- Cedar Grove Foot and Ankle Associates LLC
- Cedar Grove Foot and Ankle Specialists P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.