Active NPIIndividual provider

Ms. Jerrica Tubalado

Physical Therapy Assistant in North Bergen, New Jersey

NPI Number1033967377
Practice location
3107 Jfk Blvd, North Bergen, NJ 07047
Fax
—
Last updated
September 6, 2024

Jerrica Tubalado is a Physical Therapy Assistant based in North Bergen, NJ. Jerrica Tubalado practices in North Bergen, NJ. The NPI Number for Jerrica Tubalado is 1033967377 and holds a License No. 014253 (NY). The current practice location address for Jerrica Tubalado is 3107 Jfk Blvd, North Bergen, NJ 07047 and can be reached out via phone at 201-866-2800.

Provider Profile Details

NPI Number
1033967377
Provider Name
Jerrica Tubalado
Provider Entity Type
Individual
Gender
Female
Address
3107 Jfk Blvd, North Bergen, NJ 07047
Phone Number
201-866-2800
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
May 10, 2024
Last Update Date
September 6, 2024
Certification Date
September 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3107 Jfk Blvd
North Bergen, NJ 07047
Zip
07047
Phone Number
201-866-2800
North Bergen, NJ 07047Get directions →

Provider Business Mailing Address Details

Address
3107 Kennedy Blvd Fl 1
North Bergen, NJ 07047-2378
City
North Bergen
State
NJ
Zip
07047-2378
Phone Number
201-866-2800

License Information

License Number (1)
014253
License State (1)
NY
Taxonomy (1)
Physical Therapy Assistant · 225200000X
License Number (2)
40QB00414100
License State (2)
NJ
Taxonomy (2)
Physical Therapy Assistant · 225200000X · 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 Ms. Jerrica Tubalado?

The NPI number of Ms. Jerrica Tubalado is 1033967377. It was assigned on May 10, 2024 and is currently active in the NPPES registry.

What is the specialty of Ms. Jerrica Tubalado?

Ms. Jerrica Tubalado is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NY under license number 014253.

Where does Ms. Jerrica Tubalado practice?

The practice location is 3107 Jfk Blvd, North Bergen, NJ 07047. The office can be reached at 201-866-2800 (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 1033967377 directly on the NPPES registry website.

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