Individual provider Active NPI

Ernesto J. Armendi, P.T.

  • Physical Therapist
  • Perth Amboy, NJ
National Provider Identifier
1972728293
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00561900 Issued in NJ
Practice address
763 Convery Blvd
Route 35 South
Perth Amboy, NJ 08861-2525
Phone
(732) 442-1170
Fax
(732) 442-1175
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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 40QA00561900 NJ Primary

Addresses

Primary practice location

763 Convery Blvd
Route 35 South
Perth Amboy, NJ 08861-2525

Mailing address

83 Whitman St
Haworth, NJ 07641-1932
Phone (201) 244-6122

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00561900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Center LLC Physical Therapist PastSince Jun 1, 2007 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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1972728293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 WHITMAN ST",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411932",
            "telephone_number": "201-244-6122",
            "fax_number": "201-384-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 CONVERY BLVD",
            "address_2": "ROUTE 35 SOUTH",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612525",
            "telephone_number": "732-442-1170",
            "fax_number": "732-442-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENDI",
        "first_name": "ERNESTO",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00561900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.