Active NPIIndividual provider

Mr. Marc D Favieri, MPT

Physical Therapist in Cresskill, New Jersey

NPI Number1104977966
Practice location
220 Knickerbocker RD, Cresskill, NJ 07626-1827
Fax
201-541-1711
Last updated
July 8, 2007

Marc D Favieri is a Physical Therapist based in Cresskill, NJ. Marc D Favieri practices in Cresskill, NJ and has the professional credentials of MPT. The NPI Number for Marc D Favieri is 1104977966 and holds a License No. 40QA00636000 (NJ). The current practice location address for Marc D Favieri is 220 Knickerbocker RD, Cresskill, NJ 07626-1827 and can be reached out via phone at 201-541-9222 and via fax at 201-541-1711.

Provider Profile Details

NPI Number
1104977966
Provider Name
Marc D Favieri
Credential
MPT
Provider Entity Type
Individual
Gender
Male
Address
220 Knickerbocker RD, Cresskill, NJ 07626-1827
Phone Number
201-541-9222
Fax Number
201-541-1711
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
January 16, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
220 Knickerbocker RD
Cresskill, NJ 07626-1827
Zip
07626-1827
Phone Number
201-541-9222
Fax Number
201-541-1711
Cresskill, NJ 07626Get directions →

Provider Business Mailing Address Details

Address
705 Albert Pl
Ridgewood, NJ 07450-5310
City
Ridgewood
State
NJ
Zip
07450-5310
Phone Number
201-444-4895
Fax Number
201-444-5333

License Information

License Number
40QA00636000
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.

Other Physical Therapists near Cresskill, NJ

View all Physical Therapists in Cresskill →

Frequently Asked Questions

What is the NPI number of Mr. Marc D Favieri, MPT?

The NPI number of Mr. Marc D Favieri, MPT is 1104977966. It was assigned on January 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Marc D Favieri, MPT?

Mr. Marc D Favieri, MPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00636000.

Where does Mr. Marc D Favieri, MPT practice?

The practice location is 220 Knickerbocker RD, Cresskill, NJ 07626-1827. The office can be reached at 201-541-9222 (phone) or 201-541-1711 (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 1104977966 directly on the NPPES registry website.

Browse related providers