Active NPIIndividual provider

Eric Canonaco, DPT

Physical Therapist in Fair Lawn, New Jersey

NPI Number1003771528
Practice location
17-17 Route 208 Ste 116, Fair Lawn, NJ 07410-2819
Fax
201-291-0753
Last updated
December 17, 2025

Eric Canonaco is a Physical Therapist based in Fair Lawn, NJ. Eric Canonaco practices in Fair Lawn, NJ and has the professional credentials of DPT. The NPI Number for Eric Canonaco is 1003771528 and holds a License No. 40QA02392100 (NJ). The current practice location address for Eric Canonaco is 17-17 Route 208 Ste 116, Fair Lawn, NJ 07410-2819 and can be reached out via phone at 201-291-0750 and via fax at 201-291-0753.

Provider Profile Details

NPI Number
1003771528
Provider Name
Eric Canonaco
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
17-17 Route 208 Ste 116, Fair Lawn, NJ 07410-2819
Phone Number
201-291-0750
Fax Number
201-291-0753
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
December 17, 2025
Last Update Date
December 17, 2025
Certification Date
December 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
17-17 Route 208 Ste 116
Fair Lawn, NJ 07410-2819
Zip
07410-2819
Phone Number
201-291-0750
Fax Number
201-291-0753
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
17-17 Route 208 Ste 116
Fair Lawn, NJ 07410-2819
City
Fair Lawn
State
NJ
Zip
07410-2819
Phone Number
201-291-0750
Fax Number
201-291-0753

License Information

License Number
40QA02392100
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 Eric Canonaco, DPT?

The NPI number of Eric Canonaco, DPT is 1003771528. It was assigned on December 17, 2025 and is currently active in the NPPES registry.

What is the specialty of Eric Canonaco, DPT?

Eric Canonaco, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02392100.

Where does Eric Canonaco, DPT practice?

The practice location is 17-17 Route 208 Ste 116, Fair Lawn, NJ 07410-2819. The office can be reached at 201-291-0750 (phone) or 201-291-0753 (fax).

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 1003771528 directly on the NPPES registry website.

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