Panda Physical Medicine LLC
Nurse Practitioner in Eatontown, New Jersey
1043711203- Practice location
- 142 Highway 35 Ste 107, Eatontown, NJ 07724-1864
- Phone
- 732-898-3040
- Fax
- 732-531-1200
- Last updated
- May 27, 2022
Panda Physical Medicine LLC is a healthcare organization based in Eatontown, NJ. Panda Physical Medicine LLC practices in Eatontown, NJ. The NPI Number for Panda Physical Medicine LLC is 1043711203. The current practice location address for Panda Physical Medicine LLC is 142 Highway 35 Ste 107, Eatontown, NJ 07724-1864 and can be reached out via phone at 732-898-3040 and via fax at 732-531-1200.
Provider Profile Details
- NPI Number
- 1043711203
- Provider Name
- Panda Physical Medicine LLC
- Provider Entity Type
- Organization
- Address
- 142 Highway 35 Ste 107, Eatontown, NJ 07724-1864
- Phone Number
- 732-898-3040
- Fax Number
- 732-531-1200
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Organization Subpart
- No
- Authorized Official
- Charles A Ferrante, DC · Clinic Manager · 732-455-1375
- Provider Enumeration Date
- February 23, 2018
- Last Update Date
- May 27, 2022
- Certification Date
- May 27, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 142 Highway 35 Ste 107
Eatontown, NJ 07724-1864 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-1864
- Phone Number
- 732-898-3040
- Fax Number
- 732-531-1200
Provider Business Mailing Address Details
- Address
- 904 Deal RD Apt 12
Ocean, NJ 07712-3443 - City
- Ocean
- State
- NJ
- Zip
- 07712-3443
- Phone Number
- 732-455-1375
- Fax Number
- 732-230-7680
License Information
- Taxonomy (1)
- Chiropractor · 111N00000X
- Taxonomy (2)
- Specialist · 174400000X
- Taxonomy (3)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioners near Eatontown, NJ
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- Kimberly Reda, APNNurse Practitioner · NPI 1255008801
- Lizeth Raigosa Perez, APNNurse Practitioner · NPI 1720716798
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Frequently Asked Questions
What is the NPI number of Panda Physical Medicine LLC?
The NPI number of Panda Physical Medicine LLC is 1043711203. It was assigned on February 23, 2018 and is currently active in the NPPES registry.
What is the specialty of Panda Physical Medicine LLC?
Panda Physical Medicine LLC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X).
Where does Panda Physical Medicine LLC practice?
The practice location is 142 Highway 35 Ste 107, Eatontown, NJ 07724-1864. The office can be reached at 732-898-3040 (phone) or 732-531-1200 (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 1043711203 directly on the NPPES registry website.