Active NPIIndividual providerSole proprietor

Ms. Angela L Santiago, PTA

Physical Therapist in Lyndhurst, New Jersey

NPI Number1053183145
Practice location
623 Ridge RD, Lyndhurst, NJ 07071-3205
Fax
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Last updated
October 23, 2023

Angela L Santiago is a Physical Therapist based in Lyndhurst, NJ. Angela L Santiago practices in Lyndhurst, NJ and has the professional credentials of PTA. The NPI Number for Angela L Santiago is 1053183145 and holds a License No. 40QB00393200 (NJ). The current practice location address for Angela L Santiago is 623 Ridge RD, Lyndhurst, NJ 07071-3205 and can be reached out via phone at 201-340-4656.

Provider Profile Details

NPI Number
1053183145
Provider Name
Angela L Santiago
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
623 Ridge RD, Lyndhurst, NJ 07071-3205
Phone Number
201-340-4656
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
October 23, 2023
Last Update Date
October 23, 2023
Certification Date
October 23, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
623 Ridge RD
Lyndhurst, NJ 07071-3205
Zip
07071-3205
Phone Number
201-340-4656
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
131 Rutherford Pl
Kearny, NJ 07032-3216
City
Kearny
State
NJ
Zip
07032-3216
Phone Number
201-473-1056

License Information

License Number
40QB00393200
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 Ms. Angela L Santiago, PTA?

The NPI number of Ms. Angela L Santiago, PTA is 1053183145. It was assigned on October 23, 2023 and is currently active in the NPPES registry.

What is the specialty of Ms. Angela L Santiago, PTA?

Ms. Angela L Santiago, PTA is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QB00393200.

Where does Ms. Angela L Santiago, PTA practice?

The practice location is 623 Ridge RD, Lyndhurst, NJ 07071-3205. The office can be reached at 201-340-4656 (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 1053183145 directly on the NPPES registry website.

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