Active NPIIndividual provider

Mr. John C Iannelli Jr., PT, DPT

Physical Therapist in Williamstown, New Jersey

NPI Number1114316031
Practice location
1165 N Tuckahoe RD, Williamstown, NJ 08094-3459
Fax
856-716-6525
Last updated
November 30, 2023

John Carmen Iannelli is a Physical Therapist based in Williamstown, NJ. John Carmen Iannelli practices in Williamstown, NJ and has the professional credentials of PT, DPT. The NPI Number for John Carmen Iannelli is 1114316031 and holds a License No. J1-0003262 (DE). The current practice location address for John Carmen Iannelli is 1165 N Tuckahoe RD, Williamstown, NJ 08094-3459 and can be reached out via phone at 856-237-7467 and via fax at 856-716-6525.

Provider Profile Details

NPI Number
1114316031
Provider Name
John Carmen Iannelli
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
1165 N Tuckahoe RD, Williamstown, NJ 08094-3459
Phone Number
856-237-7467
Fax Number
856-716-6525
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
January 15, 2015
Last Update Date
November 30, 2023
Certification Date
November 30, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1165 N Tuckahoe RD
Williamstown, NJ 08094-3459
Zip
08094-3459
Phone Number
856-237-7467
Fax Number
856-716-6525
Williamstown, NJ 08094Get directions →

Provider Business Mailing Address Details

Address
1165 N Tuckahoe RD
Williamstown, NJ 08094-3459
City
Williamstown
State
NJ
Zip
08094-3459
Phone Number
856-237-7467
Fax Number
856-716-6525

License Information

License Number (1)
J1-0003262
License State (1)
DE
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
40QA01800800
License State (2)
NJ
Taxonomy (2)
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 Mr. John C Iannelli Jr., PT, DPT?

The NPI number of Mr. John C Iannelli Jr., PT, DPT is 1114316031. It was assigned on January 15, 2015 and is currently active in the NPPES registry.

What is the specialty of Mr. John C Iannelli Jr., PT, DPT?

Mr. John C Iannelli Jr., PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in DE under license number J1-0003262.

Where does Mr. John C Iannelli Jr., PT, DPT practice?

The practice location is 1165 N Tuckahoe RD, Williamstown, NJ 08094-3459. The office can be reached at 856-237-7467 (phone) or 856-716-6525 (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 1114316031 directly on the NPPES registry website.

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