Mr. Prospero A Tayco, PT
Skilled Nursing Facility in Raritan, New Jersey
1063734705- Practice location
- 113 Woodmere St, Raritan, NJ 08869-1636
- Phone
- 908-707-9079
- Fax
- —
- Last updated
- February 22, 2010
Prospero A Tayco is a Skilled Nursing Facility based in Raritan, NJ. Prospero A Tayco practices in Raritan, NJ and has the professional credentials of PT. The NPI Number for Prospero A Tayco is 1063734705 and holds a License No. 40QA00587900 (NJ). The current practice location address for Prospero A Tayco is 113 Woodmere St, Raritan, NJ 08869-1636 and can be reached out via phone at 908-707-9079.
Provider Profile Details
- NPI Number
- 1063734705
- Provider Name
- Prospero A Tayco
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 113 Woodmere St, Raritan, NJ 08869-1636
- Phone Number
- 908-707-9079
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 22, 2010
- Last Update Date
- February 22, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 113 Woodmere St
Raritan, NJ 08869-1636 - City
- Raritan
- State
- New Jersey
- Zip
- 08869-1636
- Phone Number
- 908-707-9079
Provider Business Mailing Address Details
- Address
- 113 Woodmere St
Raritan, NJ 08869-1636 - City
- Raritan
- State
- NJ
- Zip
- 08869-1636
- Phone Number
- 908-707-9079
License Information
- License Number (1)
- 40QA00587900
- License State (1)
- NJ
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- 40QA00587900
- License State (2)
- NJ
- Taxonomy (2)
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Skilled Nursing Facility providers near Raritan, NJ
View all Skilled Nursing Facility providers in Raritan →Frequently Asked Questions
What is the NPI number of Mr. Prospero A Tayco, PT?
The NPI number of Mr. Prospero A Tayco, PT is 1063734705. It was assigned on February 22, 2010 and is currently active in the NPPES registry.
What is the specialty of Mr. Prospero A Tayco, PT?
Mr. Prospero A Tayco, PT is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in NJ under license number 40QA00587900.
Where does Mr. Prospero A Tayco, PT practice?
The practice location is 113 Woodmere St, Raritan, NJ 08869-1636. The office can be reached at 908-707-9079 (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 1063734705 directly on the NPPES registry website.