Individual provider Active NPI

Jennifer Skara, MPT

  • Pediatric Physical Therapist
  • Westfield, NJ
National Provider Identifier
1912238262
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
40QA00865300 Issued in NJ
Practice address
525 Central Ave Ste B
Westfield, NJ 07090-2545
Phone
(908) 654-4252
Fax
(908) 654-4258
NPI assigned
Jan 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00865300 NJ
Pediatric Physical Therapist 2251P0200X 40QA00865300 NJ Primary

Addresses

Primary practice location

525 Central Ave Ste B
Westfield, NJ 07090-2545

Mailing address

525 Central Ave Ste B
Westfield, NJ 07090-2545
Phone (908) 654-4252

Other names 1

  • Jennifer Bonoan Former name

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

LicenseStateTypeSpecialty
40QA00865300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Advantage Pediatrics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1912238262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CENTRAL AVE STE B",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902545",
            "telephone_number": "908-654-4252",
            "fax_number": "908-654-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 CENTRAL AVE STE B",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902545",
            "telephone_number": "908-654-4252",
            "fax_number": "908-654-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARA",
        "first_name": "JENNIFER",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00865300",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA00865300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BONOAN",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.