Active NPIIndividual providerSole proprietor

Dr. Shaniece Degazon, DPT

Physical Therapist in Cranford, New Jersey

NPI Number1003308206
Practice location
45 South Ave W Ste 101, Cranford, NJ 07016-2686
Fax
—
Last updated
June 4, 2018

Shaniece Degazon is a Physical Therapist based in Cranford, NJ. Shaniece Degazon practices in Cranford, NJ and has the professional credentials of DPT. The NPI Number for Shaniece Degazon is 1003308206 and holds a License No. 40QA01788400 (NJ). The current practice location address for Shaniece Degazon is 45 South Ave W Ste 101, Cranford, NJ 07016-2686 and can be reached out via phone at 908-709-7300.

Provider Profile Details

NPI Number
1003308206
Provider Name
Shaniece Degazon
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
45 South Ave W Ste 101, Cranford, NJ 07016-2686
Phone Number
908-709-7300
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
June 4, 2018
Last Update Date
June 4, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 South Ave W Ste 101
Cranford, NJ 07016-2686
Zip
07016-2686
Phone Number
908-709-7300
Cranford, NJ 07016Get directions →

Provider Business Mailing Address Details

Address
91 Woodhaven Dr
Wayne, NJ 07470-5166
City
Wayne
State
NJ
Zip
07470-5166
Phone Number
609-558-5333

License Information

License Number
40QA01788400
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Shaniece Degazon, DPT?

The NPI number of Dr. Shaniece Degazon, DPT is 1003308206. It was assigned on June 4, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Shaniece Degazon, DPT?

Dr. Shaniece Degazon, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01788400.

Where does Dr. Shaniece Degazon, DPT practice?

The practice location is 45 South Ave W Ste 101, Cranford, NJ 07016-2686. The office can be reached at 908-709-7300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003308206 directly on the NPPES registry website.

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