Mr. Kenneth Fernandez
Occupational Therapy Assistant in Lincoln Park, New Jersey
1063877207- Practice location
- 209 Comly RD, M13, Lincoln Park, NJ 07035
- Phone
- 973-572-2940
- Fax
- —
- Last updated
- December 15, 2015
Kenneth Fernandez is an Occupational Therapy Assistant based in Lincoln Park, NJ. Kenneth Fernandez practices in Lincoln Park, NJ. The NPI Number for Kenneth Fernandez is 1063877207 and holds a License No. 46TA09114900 (NJ). The current practice location address for Kenneth Fernandez is 209 Comly RD, M13, Lincoln Park, NJ 07035 and can be reached out via phone at 973-572-2940.
Provider Profile Details
- NPI Number
- 1063877207
- Provider Name
- Kenneth Fernandez
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 209 Comly RD, M13, Lincoln Park, NJ 07035
- Phone Number
- 973-572-2940
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 15, 2015
- Last Update Date
- December 15, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 209 Comly RD
M13
Lincoln Park, NJ 07035 - City
- Lincoln Park
- State
- New Jersey
- Zip
- 07035
- Phone Number
- 973-572-2940
Provider Business Mailing Address Details
- Address
- 209 Comly RD
M13
Lincoln Park, NJ 07035 - City
- Lincoln Park
- State
- NJ
- Zip
- 07035
- Phone Number
- 973-572-2940
License Information
- License Number
- 46TA09114900
- License State
- NJ
- Taxonomy
- Occupational Therapy Assistant · 224Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Kenneth Fernandez?
The NPI number of Mr. Kenneth Fernandez is 1063877207. It was assigned on December 15, 2015 and is currently active in the NPPES registry.
What is the specialty of Mr. Kenneth Fernandez?
Mr. Kenneth Fernandez is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09114900.
Where does Mr. Kenneth Fernandez practice?
The practice location is 209 Comly RD, M13, Lincoln Park, NJ 07035. The office can be reached at 973-572-2940 (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 1063877207 directly on the NPPES registry website.