Active NPI
Jose M Ortiz
- Rehabilitation Practitioner
- Lake Hiawatha, NJ
National Provider Identifier
1891578563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 34 Nokomis Ave
Lake Hiawatha, NJ 07034-2609 - Phone
- (973) 334-4466
- NPI assigned
- Aug 16, 2023
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
34 Nokomis Ave
Lake Hiawatha, NJ 07034-2609
Mailing address
34 Nokomis Ave
Lake Hiawatha, NJ 07034-2609
Phone (973) 334-4466
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1891578563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 NOKOMIS AVE",
"city": "LAKE HIAWATHA",
"state": "NJ",
"postal_code": "070342609",
"telephone_number": "973-334-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 NOKOMIS AVE",
"city": "LAKE HIAWATHA",
"state": "NJ",
"postal_code": "070342609",
"telephone_number": "973-334-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "JOSE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Hiawatha, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.