Active NPIIndividual providerSole proprietor

Audrey Michiku M Nuesca

Physical Therapist in Newark, New Jersey

NPI Number1023881406
Practice location
902 N 5TH St Ste C104, Newark, NJ 07107-4804
Fax
—
Last updated
November 7, 2026

Audrey Michiku Magbojos Nuesca is a Physical Therapist based in Newark, NJ. Audrey Michiku Magbojos Nuesca practices in Newark, NJ. The NPI Number for Audrey Michiku Magbojos Nuesca is 1023881406 and holds a License No. 40QA02216900 (NJ). The current practice location address for Audrey Michiku Magbojos Nuesca is 902 N 5TH St Ste C104, Newark, NJ 07107-4804 and can be reached out via phone at 973-910-2300.

Provider Profile Details

NPI Number
1023881406
Provider Name
Audrey Michiku Magbojos Nuesca
Provider Entity Type
Individual
Gender
Female
Address
902 N 5TH St Ste C104, Newark, NJ 07107-4804
Phone Number
973-910-2300
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
November 6, 2023
Last Update Date
November 7, 2026
Certification Date
November 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
902 N 5TH St Ste C104
Newark, NJ 07107-4804
City
Newark
Zip
07107-4804
Phone Number
973-910-2300
Newark, NJ 07107Get directions →

Provider Business Mailing Address Details

Address
349 Valley St
South Orange, NJ 07079-2857
City
South Orange
State
NJ
Zip
07079-2857
Phone Number
973-327-7868

License Information

License Number (1)
40QA02216900
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
050626
License State (2)
NY
Taxonomy (2)
Physical Therapist · 225100000X
License Number (3)
070022709
License State (3)
IL
Taxonomy (3)
Physical Therapist · 225100000X

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 Audrey Michiku M Nuesca?

The NPI number of Audrey Michiku M Nuesca is 1023881406. It was assigned on November 6, 2023 and is currently active in the NPPES registry.

What is the specialty of Audrey Michiku M Nuesca?

Audrey Michiku M Nuesca is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02216900.

Where does Audrey Michiku M Nuesca practice?

The practice location is 902 N 5TH St Ste C104, Newark, NJ 07107-4804. The office can be reached at 973-910-2300 (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 1023881406 directly on the NPPES registry website.

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