Active NPIIndividual provider

Dr. Theodore C Emenuga, DPT

Physical Therapist in Pequannock, New Jersey

NPI Number1265017230
Practice location
167 Newark Pompton Tpke, Pequannock, NJ 07440-1338
Fax
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Last updated
March 11, 2021

Theodore Chinedu Emenuga is a Physical Therapist based in Pequannock, NJ. Theodore Chinedu Emenuga practices in Pequannock, NJ and has the professional credentials of DPT. The NPI Number for Theodore Chinedu Emenuga is 1265017230 and holds a License No. 40QA01998500 (NJ). The current practice location address for Theodore Chinedu Emenuga is 167 Newark Pompton Tpke, Pequannock, NJ 07440-1338 and can be reached out via phone at 973-987-3310.

Provider Profile Details

NPI Number
1265017230
Provider Name
Theodore Chinedu Emenuga
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
167 Newark Pompton Tpke, Pequannock, NJ 07440-1338
Phone Number
973-987-3310
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 11, 2021
Last Update Date
March 11, 2021
Certification Date
March 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
167 Newark Pompton Tpke
Pequannock, NJ 07440-1338
Zip
07440-1338
Phone Number
973-987-3310
Pequannock, NJ 07440Get directions →

Provider Business Mailing Address Details

Address
170 Brighton Ave
East Orange, NJ 07017-1801
City
East Orange
State
NJ
Zip
07017-1801
Phone Number
862-224-2217

License Information

License Number
40QA01998500
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 Dr. Theodore C Emenuga, DPT?

The NPI number of Dr. Theodore C Emenuga, DPT is 1265017230. It was assigned on March 11, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Theodore C Emenuga, DPT?

Dr. Theodore C Emenuga, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01998500.

Where does Dr. Theodore C Emenuga, DPT practice?

The practice location is 167 Newark Pompton Tpke, Pequannock, NJ 07440-1338. The office can be reached at 973-987-3310 (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 1265017230 directly on the NPPES registry website.

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