John Carl Peralta Pineda, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01347600 Issued in NJ

Practice address

77 Doty Rd
Haskell, NJ 07420-3713

Phone

(917) 618-9881

NPI assigned

Nov 19, 2010

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Anakan Physical Therapy Limited Liability Company

  • Physical Therapist
  • Butler, NJ
  • NPI 1386162832
  Medicare reassignment NPD Authorized official
• Colacurcio Chiropractic PC

  • Chiropractor
  • Caldwell, NJ
  • NPI 1336394188
  NPD (past)

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881996163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 DOTY RD",
            "city": "HASKELL",
            "state": "NJ",
            "postal_code": "07420",
            "telephone_number": "917-618-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 DOTY RD",
            "city": "HASKELL",
            "state": "NJ",
            "postal_code": "074203713",
            "telephone_number": "917-618-9881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94 W Oldis St",
            "address_purpose": "LOCATION",
            "city": "Rochelle Park",
            "state": "NJ",
            "postal_code": "076623713",
            "country_code": "US",
            "telephone_number": "917-618-9881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "JOHN CARL",
        "middle_name": "PERALTA",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029628",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01347600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "40QA01347600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nu Imagery Healthcare (Nu Imagery Healthcare LLC)
• Donna Ore
• Kimberly Orourke, CD DONA, CLC
• Christine Pappas
• Fritzie Ann Penales-Cempron, PT, DPT
• Ann L Pinon, FNP, PMHNP
• Ashleigh Pomponio
• Vedant Mukund Prajapati, PHARM. D
• Peggy Ann Prekopa, PHD
• Premier Counseling Care

• Physical Therapist in Haskell, NJ
• Providers in Haskell, 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 17, 2018; 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.