Active NPI
Krystina Baumgarten, MSPT
- Physical Therapist
- North Caldwell, NJ
National Provider Identifier
1982736906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01979100
- Practice address
- 21 Stony Brook Drive
North Caldwell, NJ 07006 - Phone
- (603) 475-4969
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 40QA01979100 | NJ | Primary |
Addresses
Primary practice location
21 Stony Brook Drive
North Caldwell, NJ 07006
Mailing address
21 Stony Brook Drive
North Caldwell, NJ 07006
Phone (603) 475-4969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01979100 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
800 E Gate Blvd
Garden City, NY 11530
Organizations & group practices 2
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": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1982736906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 STONY BROOK DRIVE",
"city": "NORTH CALDWELL",
"state": "NJ",
"postal_code": "07006",
"telephone_number": "603-475-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 STONY BROOK DRIVE",
"city": "NORTH CALDWELL",
"state": "NJ",
"postal_code": "07006",
"telephone_number": "603-475-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARTEN",
"first_name": "KRYSTINA",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01979100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Caldwell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.