Active NPIIndividual providerSole proprietor

Timothy Greendyk

Physical Therapist in Lodi, New Jersey

NPI Number1255079646
Practice location
121 S Main St Ste B, Lodi, NJ 07644-2212
Fax
—
Last updated
May 25, 2022

Timothy Greendyk is a Physical Therapist based in Lodi, NJ. Timothy Greendyk practices in Lodi, NJ. The NPI Number for Timothy Greendyk is 1255079646. The current practice location address for Timothy Greendyk is 121 S Main St Ste B, Lodi, NJ 07644-2212 and can be reached out via phone at 973-313-8840.

Provider Profile Details

NPI Number
1255079646
Provider Name
Timothy Greendyk
Provider Entity Type
Individual
Gender
Male
Address
121 S Main St Ste B, Lodi, NJ 07644-2212
Phone Number
973-313-8840
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
May 25, 2022
Last Update Date
May 25, 2022
Certification Date
May 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 S Main St Ste B
Lodi, NJ 07644-2212
City
Lodi
Zip
07644-2212
Phone Number
973-313-8840
Lodi, NJ 07644Get directions →

Provider Business Mailing Address Details

Address
576 Broadhollow RD
Melville, NY 11747-5002
City
Melville
State
NY
Zip
11747-5002
Phone Number
631-359-5859

License Information

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.

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Frequently Asked Questions

What is the NPI number of Timothy Greendyk?

The NPI number of Timothy Greendyk is 1255079646. It was assigned on May 25, 2022 and is currently active in the NPPES registry.

What is the specialty of Timothy Greendyk?

Timothy Greendyk is registered under the primary taxonomy Physical Therapist (code 225100000X).

Where does Timothy Greendyk practice?

The practice location is 121 S Main St Ste B, Lodi, NJ 07644-2212. The office can be reached at 973-313-8840 (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 1255079646 directly on the NPPES registry website.

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