NPIMap

Individual provider Active NPI

Bernadette Palpallatoc, PT

  • Physical Therapist
  • Hackensack, NJ
National Provider Identifier
1962799478
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40QA006717 Issued in NJ
Practice address
455 Colonial Ter
Hackensack, NJ 07601-1403
Phone
(201) 996-9264
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT40QA006717 NJ Primary

Addresses

Primary practice location

455 Colonial Ter
Hackensack, NJ 07601-1403

Mailing address

455 Colonial Ter
Hackensack, NJ 07601-1403
Phone (201) 996-9264

Other names 1

  • Bernadette Geminiano 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
PT40QA006717NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Devon'S Promise Inc Physical Therapist 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": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1962799478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 COLONIAL TER",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011403",
            "telephone_number": "201-996-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 COLONIAL TER",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011403",
            "telephone_number": "201-996-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALPALLATOC",
        "first_name": "BERNADETTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA006717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNADETTE",
            "last_name": "GEMINIANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.