Active NPI
Carlos Raymund Gopiad Santos, B.S.P.T./R.P.T.
- Physical Therapist
- Metuchen, NJ
National Provider Identifier
1891946588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01247800
- Practice address
- 69 Amboy Ave
Metuchen, NJ 08840-2549 - Phone
- (732) 494-3380
- Fax
- (732) 494-3727
- NPI assigned
- Oct 1, 2008
- Last updated
- Oct 1, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01247800 | NJ | Primary |
Addresses
Primary practice location
69 Amboy Ave
Metuchen, NJ 08840-2549
Mailing address
69 Amboy Ave
Metuchen, NJ 08840-2549
Phone (732) 494-3380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090413000027 | NJ | Practitioner - Physical Therapist in Private Practice | 8921155839 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2040 Millburn Ave
Maplewood, NJ 07040-3726
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bressler Chiropractic Health Center, .PC. | Past | Accepting new patients | |
| Comprehensive Physical Therapy and Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
| Haledon Physical Therapy & Sports Medicine LLC | Physical Therapist | Past | Accepting new patients |
| Comprehensive Physical Therapy & Sports Medicine LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Bressler-Mandell Chiropractic Health Center, P.C.
- Chiropractor
- Metuchen, NJ
- NPI 1295891752
-
- Physical Therapy Clinic/Center
- Paterson, NJ
- NPI 1639496102
-
- Physical Therapy Clinic/Center
- Clifton, NJ
- NPI 1306251566
Physical Therapist
-
- Physical Therapist
- Haledon, NJ
- NPI 1366682601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1891946588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 AMBOY AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402549",
"telephone_number": "732-494-3380",
"fax_number": "732-494-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 AMBOY AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402549",
"telephone_number": "732-494-3380",
"fax_number": "732-494-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "CARLOS RAYMUND",
"middle_name": "GOPIAD",
"credential": "B.S.P.T./R.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-01",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01247800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metuchen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.