Active NPI
Donna L Wajda, PT, DPT
- Physical Therapist
- Waldwick, NJ
National Provider Identifier
1972896108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01396000
- Practice address
- 168 Franklin Tpke
Suite 103B
Waldwick, NJ 07463-1848 - Phone
- (201) 493-7440
- Fax
- (201) 493-7445
- NPI assigned
- May 20, 2011
- Sex
- Female
- 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 | 40QA01396000 | NJ | Primary |
Addresses
Primary practice location
168 Franklin Tpke
Suite 103B
Waldwick, NJ 07463-1848
Mailing address
168 Franklin Tpke
Suite 103B
Waldwick, NJ 07463-1848
Phone (201) 493-7440
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01396000 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1972896108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 FRANKLIN TPKE",
"address_2": "SUITE 103B",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631848",
"telephone_number": "201-493-7440",
"fax_number": "201-493-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 FRANKLIN TPKE",
"address_2": "SUITE 103B",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631848",
"telephone_number": "201-493-7440",
"fax_number": "201-493-7445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAJDA",
"first_name": "DONNA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-20",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01396000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldwick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.