Active NPIIndividual providerSole proprietor

Miss Gina O Heredea, PT

Physical Therapist in Fort Lee, New Jersey

NPI Number1003984451
Practice location
6 Horizon RD Apt 512, Fort Lee, NJ 07024-6606
Fax
201-224-3409
Last updated
July 8, 2007

Gina Otilia Heredea is a Physical Therapist based in Fort Lee, NJ. Gina Otilia Heredea practices in Fort Lee, NJ and has the professional credentials of PT. The NPI Number for Gina Otilia Heredea is 1003984451 and holds a License No. 40QA01089000 (NJ). The current practice location address for Gina Otilia Heredea is 6 Horizon RD Apt 512, Fort Lee, NJ 07024-6606 and can be reached out via phone at 551-221-0660 and via fax at 201-224-3409.

Provider Profile Details

NPI Number
1003984451
Provider Name
Gina Otilia Heredea
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
6 Horizon RD Apt 512, Fort Lee, NJ 07024-6606
Phone Number
551-221-0660
Fax Number
201-224-3409
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
December 2, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Horizon RD Apt 512
Fort Lee, NJ 07024-6606
Zip
07024-6606
Phone Number
551-221-0660
Fax Number
201-224-3409
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
6 Horizon RD Apt 512
Fort Lee, NJ 07024-6606
City
Fort Lee
State
NJ
Zip
07024-6606
Phone Number
551-221-0660
Fax Number
201-224-3409

License Information

License Number
40QA01089000
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 Miss Gina O Heredea, PT?

The NPI number of Miss Gina O Heredea, PT is 1003984451. It was assigned on December 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Miss Gina O Heredea, PT?

Miss Gina O Heredea, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01089000.

Where does Miss Gina O Heredea, PT practice?

The practice location is 6 Horizon RD Apt 512, Fort Lee, NJ 07024-6606. The office can be reached at 551-221-0660 (phone) or 201-224-3409 (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 1003984451 directly on the NPPES registry website.

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