Cessna Jane Tusalem Redondo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01275700 Issued in NJ

Practice address

536 Ridge Rd
Cedar Grove, NJ 07009-1611

Phone

(201) 680-8907

NPI assigned

Jun 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350777600000",
    "number": "1942468327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 STEGMAN PKWY",
            "address_2": "APT. 204",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 RIDGE RD",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091611",
            "telephone_number": "201-680-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDONDO",
        "first_name": "CESSNA JANE",
        "middle_name": "TUSALEM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2012-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01275700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Taylor Raab, OTR/L
• Naipaul Rambaran, MD
• Randi E. Jeddis, MSW,LCSW,LLC
• Carlos R Rangel, MSPT, CWCE
• Mark Edward Raum, DPT
• Beth-Ann Ribaudo, D.I.R.PRACTIONER
• Judith Ann Riekert, OTR/L
• Sage Nicholas Rivera
• Victoria Maria Rivera
• Masood A. Rizvi, M.D.

• Physical Therapist in Cedar Grove, NJ
• Providers in Cedar Grove, 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 Oct 21, 2012; 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.