Dr. Ileana Fajardo, DPT
Specialist in Avenel, New Jersey
1194004275- Practice location
- 415 Avenel St, Avenel, NJ 07001-1147
- Phone
- 732-693-6788
- Fax
- 732-636-7887
- Last updated
- August 8, 2011
Ileana Fajardo is a Specialist based in Avenel, NJ. Ileana Fajardo practices in Avenel, NJ and has the professional credentials of DPT. The NPI Number for Ileana Fajardo is 1194004275 and holds a License No. 40QA01384600 (NJ). The current practice location address for Ileana Fajardo is 415 Avenel St, Avenel, NJ 07001-1147 and can be reached out via phone at 732-693-6788 and via fax at 732-636-7887.
Provider Profile Details
- NPI Number
- 1194004275
- Provider Name
- Ileana Fajardo
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 415 Avenel St, Avenel, NJ 07001-1147
- Phone Number
- 732-693-6788
- Fax Number
- 732-636-7887
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 8, 2011
- Last Update Date
- August 8, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 415 Avenel St
Avenel, NJ 07001-1147 - City
- Avenel
- State
- New Jersey
- Zip
- 07001-1147
- Phone Number
- 732-693-6788
- Fax Number
- 732-636-7887
Provider Business Mailing Address Details
- Address
- 415 Avenel St
Avenel, NJ 07001-1147 - City
- Avenel
- State
- NJ
- Zip
- 07001-1147
- Phone Number
- 732-693-6788
- Fax Number
- 732-636-7887
License Information
- License Number
- 40QA01384600
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · 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 Dr. Ileana Fajardo, DPT?
The NPI number of Dr. Ileana Fajardo, DPT is 1194004275. It was assigned on August 8, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Ileana Fajardo, DPT?
Dr. Ileana Fajardo, DPT is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 40QA01384600.
Where does Dr. Ileana Fajardo, DPT practice?
The practice location is 415 Avenel St, Avenel, NJ 07001-1147. The office can be reached at 732-693-6788 (phone) or 732-636-7887 (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 1194004275 directly on the NPPES registry website.