Ajay S Mampilly
Physical Therapy Assistant in Emerson, New Jersey
1073947321- Practice location
- 100 Kinderkamack RD, Emerson, NJ 07630-1828
- Phone
- 888-493-6415
- Fax
- —
- Last updated
- August 22, 2013
Ajay S Mampilly is a Physical Therapy Assistant based in Emerson, NJ. Ajay S Mampilly practices in Emerson, NJ. The NPI Number for Ajay S Mampilly is 1073947321 and holds a License No. 40QB00300600 (NJ). The current practice location address for Ajay S Mampilly is 100 Kinderkamack RD, Emerson, NJ 07630-1828 and can be reached out via phone at 888-493-6415.
Provider Profile Details
- NPI Number
- 1073947321
- Provider Name
- Ajay S Mampilly
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Kinderkamack RD, Emerson, NJ 07630-1828
- Phone Number
- 888-493-6415
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 22, 2013
- Last Update Date
- August 22, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Kinderkamack RD
Emerson, NJ 07630-1828 - City
- Emerson
- State
- New Jersey
- Zip
- 07630-1828
- Phone Number
- 888-493-6415
Provider Business Mailing Address Details
- Address
- 67 Rollinson St
West Orange, NJ 07052-4625 - City
- West Orange
- State
- NJ
- Zip
- 07052-4625
- Phone Number
- 973-517-2094
License Information
- License Number
- 40QB00300600
- License State
- NJ
- Taxonomy
- Physical Therapy Assistant · 225200000X · 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 Ajay S Mampilly?
The NPI number of Ajay S Mampilly is 1073947321. It was assigned on August 22, 2013 and is currently active in the NPPES registry.
What is the specialty of Ajay S Mampilly?
Ajay S Mampilly is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00300600.
Where does Ajay S Mampilly practice?
The practice location is 100 Kinderkamack RD, Emerson, NJ 07630-1828. The office can be reached at 888-493-6415 (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 1073947321 directly on the NPPES registry website.