Dr. Mark R Cristiano, DPT
Physical Therapist in West Orange, New Jersey
1154877058- Practice location
- 622 Eagle Rock Ave, West Orange, NJ 07052-2994
- Phone
- 973-669-0078
- Fax
- 973-669-1113
- Last updated
- August 30, 2016
Mark Robert Cristiano is a Physical Therapist based in West Orange, NJ. Mark Robert Cristiano practices in West Orange, NJ and has the professional credentials of DPT. The NPI Number for Mark Robert Cristiano is 1154877058 and holds a License No. 40QA01679300 (NJ). The current practice location address for Mark Robert Cristiano is 622 Eagle Rock Ave, West Orange, NJ 07052-2994 and can be reached out via phone at 973-669-0078 and via fax at 973-669-1113.
Provider Profile Details
- NPI Number
- 1154877058
- Provider Name
- Mark Robert Cristiano
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 622 Eagle Rock Ave, West Orange, NJ 07052-2994
- Phone Number
- 973-669-0078
- Fax Number
- 973-669-1113
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 30, 2016
- Last Update Date
- August 30, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 622 Eagle Rock Ave
West Orange, NJ 07052-2994 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-2994
- Phone Number
- 973-669-0078
- Fax Number
- 973-669-1113
Provider Business Mailing Address Details
- Address
- 622 Eagle Rock Ave
West Orange, NJ 07052-2994 - City
- West Orange
- State
- NJ
- Zip
- 07052-2994
- Phone Number
- 973-669-0078
- Fax Number
- 973-669-1113
License Information
- License Number (1)
- 40QA01679300
- License State (1)
- NJ
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License Number (2)
- 40QA01679300
- License State (2)
- NJ
- Taxonomy (2)
- Physical Therapist, Sports · 2251S0007X
- License Number (3)
- 40QA01679300
- License State (3)
- NJ
- Taxonomy (3)
- Physical Therapist, Orthopedic · 2251X0800X
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 Dr. Mark R Cristiano, DPT?
The NPI number of Dr. Mark R Cristiano, DPT is 1154877058. It was assigned on August 30, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark R Cristiano, DPT?
Dr. Mark R Cristiano, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01679300.
Where does Dr. Mark R Cristiano, DPT practice?
The practice location is 622 Eagle Rock Ave, West Orange, NJ 07052-2994. The office can be reached at 973-669-0078 (phone) or 973-669-1113 (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 1154877058 directly on the NPPES registry website.