Active NPI
Carmenchu Constantino Nieva, PT
- Pediatric Physical Therapist
- Dumont, NJ
National Provider Identifier
1891920609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 020926
- Practice address
- 166 E Madison Avenue
Dumont, NJ 07628-2536 - Phone
- (201) 384-6621
- Fax
- (201) 244-5685
- NPI assigned
- May 22, 2009
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 020926 | NY | Primary |
Addresses
Primary practice location
166 E Madison Avenue
Dumont, NJ 07628-2536
Mailing address
166 E Madison Avenue
Dumont, NJ 07628-2536
Phone (201) 384-6621
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020926 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242950400000",
"number": "1891920609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 E MADISON AVENUE",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076282536",
"telephone_number": "201-384-6621",
"fax_number": "201-244-5685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 E MADISON AVENUE",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076282536",
"telephone_number": "201-384-6621",
"fax_number": "201-244-5685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVA",
"first_name": "CARMENCHU",
"middle_name": "CONSTANTINO",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-22",
"last_updated": "2009-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "020926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dumont, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.