Active NPIIndividual provider

Mr. Michael Q Cerullo, MSPT, CSCS

Physical Therapist in Montclair, New Jersey

NPI Number1255359444
Practice location
1 Greenwood Ave, Suite 100, Montclair, NJ 07042-3617
Fax
973-746-5030
Last updated
July 8, 2007

Michael Q Cerullo is a Physical Therapist based in Montclair, NJ. Michael Q Cerullo practices in Montclair, NJ and has the professional credentials of MSPT, CSCS. The NPI Number for Michael Q Cerullo is 1255359444 and holds a License No. QA08051 (NJ). The current practice location address for Michael Q Cerullo is 1 Greenwood Ave, Suite 100, Montclair, NJ 07042-3617 and can be reached out via phone at 973-746-2424 and via fax at 973-746-5030.

Provider Profile Details

NPI Number
1255359444
Provider Name
Michael Q Cerullo
Credential
MSPT, CSCS
Provider Entity Type
Individual
Gender
Male
Address
1 Greenwood Ave, Suite 100, Montclair, NJ 07042-3617
Phone Number
973-746-2424
Fax Number
973-746-5030
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
July 17, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Greenwood Ave
Suite 100
Montclair, NJ 07042-3617
Zip
07042-3617
Phone Number
973-746-2424
Fax Number
973-746-5030
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
1 Greenwood Ave
Suite 100
Montclair, NJ 07042-3617
City
Montclair
State
NJ
Zip
07042-3617
Phone Number
973-746-2424
Fax Number
973-746-5030

License Information

License Number
QA08051
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 Mr. Michael Q Cerullo, MSPT, CSCS?

The NPI number of Mr. Michael Q Cerullo, MSPT, CSCS is 1255359444. It was assigned on July 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael Q Cerullo, MSPT, CSCS?

Mr. Michael Q Cerullo, MSPT, CSCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number QA08051.

Where does Mr. Michael Q Cerullo, MSPT, CSCS practice?

The practice location is 1 Greenwood Ave, Suite 100, Montclair, NJ 07042-3617. The office can be reached at 973-746-2424 (phone) or 973-746-5030 (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 1255359444 directly on the NPPES registry website.

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