Mekola Nodjanosh
Physical Therapy Assistant in Emerson, New Jersey
1215684261- Practice location
- 30 Highland Ave, Emerson, NJ 07630-1212
- Phone
- 646-286-2900
- Fax
- —
- Last updated
- March 10, 2022
Mekola Nodjanosh is a Physical Therapy Assistant based in Emerson, NJ. Mekola Nodjanosh practices in Emerson, NJ. The NPI Number for Mekola Nodjanosh is 1215684261 and holds a License No. 05168 (NY). The current practice location address for Mekola Nodjanosh is 30 Highland Ave, Emerson, NJ 07630-1212 and can be reached out via phone at 646-286-2900.
Provider Profile Details
- NPI Number
- 1215684261
- Provider Name
- Mekola Nodjanosh
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 30 Highland Ave, Emerson, NJ 07630-1212
- Phone Number
- 646-286-2900
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 9, 2022
- Last Update Date
- March 10, 2022
- Certification Date
- March 10, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Highland Ave
Emerson, NJ 07630-1212 - City
- Emerson
- State
- New Jersey
- Zip
- 07630-1212
- Phone Number
- 646-286-2900
Provider Business Mailing Address Details
- Address
- 30 Highland Ave
Emerson, NJ 07630-1212 - City
- Emerson
- State
- NJ
- Zip
- 07630-1212
License Information
- License Number
- 05168
- License State
- NY
- 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 Mekola Nodjanosh?
The NPI number of Mekola Nodjanosh is 1215684261. It was assigned on March 9, 2022 and is currently active in the NPPES registry.
What is the specialty of Mekola Nodjanosh?
Mekola Nodjanosh is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NY under license number 05168.
Where does Mekola Nodjanosh practice?
The practice location is 30 Highland Ave, Emerson, NJ 07630-1212. The office can be reached at 646-286-2900 (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 1215684261 directly on the NPPES registry website.