Mick P Sudol, DPT
Physical Therapist in Paramus, New Jersey
1255802898- Practice location
- 650 From RD Ste 420, Paramus, NJ 07652-3551
- Phone
- 201-639-6620
- Fax
- 201-972-8980
- Last updated
- May 2, 2024
Mick P Sudol is a Physical Therapist based in Paramus, NJ. Mick P Sudol practices in Paramus, NJ and has the professional credentials of DPT. The NPI Number for Mick P Sudol is 1255802898 and holds a License No. 40QA01835900 (NJ). The current practice location address for Mick P Sudol is 650 From RD Ste 420, Paramus, NJ 07652-3551 and can be reached out via phone at 201-639-6620 and via fax at 201-972-8980.
Provider Profile Details
- NPI Number
- 1255802898
- Provider Name
- Mick P Sudol
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 650 From RD Ste 420, Paramus, NJ 07652-3551
- Phone Number
- 201-639-6620
- Fax Number
- 201-972-8980
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 7, 2018
- Last Update Date
- May 2, 2024
- Certification Date
- May 2, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 650 From RD Ste 420
Paramus, NJ 07652-3551 - City
- Paramus
- State
- New Jersey
- Zip
- 07652-3551
- Phone Number
- 201-639-6620
- Fax Number
- 201-972-8980
Provider Business Mailing Address Details
- Address
- 331 Newman Springs RD Ste 220
Red Bank, NJ 07701-5688 - City
- Red Bank
- State
- NJ
- Zip
- 07701-5688
- Phone Number
- 732-807-0877
- Fax Number
- 201-751-1680
License Information
- License Number (1)
- 40QA01835900
- License State (1)
- NJ
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License Number (2)
- 25774
- License State (2)
- MA
- Taxonomy (2)
- Physical Therapist · 225100000X
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 Mick P Sudol, DPT?
The NPI number of Mick P Sudol, DPT is 1255802898. It was assigned on December 7, 2018 and is currently active in the NPPES registry.
What is the specialty of Mick P Sudol, DPT?
Mick P Sudol, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01835900.
Where does Mick P Sudol, DPT practice?
The practice location is 650 From RD Ste 420, Paramus, NJ 07652-3551. The office can be reached at 201-639-6620 (phone) or 201-972-8980 (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 1255802898 directly on the NPPES registry website.