Active NPIIndividual providerSole proprietor

Mr. Jason J Supernavage, MSPT

Physical Therapist in Carneys Point, New Jersey

NPI Number1306992367
Practice location
291 Harding Hwy, Suite A, Carneys Point, NJ 08069-2229
Fax
856-299-9226
Last updated
July 8, 2007

Jason James Supernavage is a Physical Therapist based in Carneys Point, NJ. Jason James Supernavage practices in Carneys Point, NJ and has the professional credentials of MSPT. The NPI Number for Jason James Supernavage is 1306992367 and holds a License No. 40QA01075700 (NJ). The current practice location address for Jason James Supernavage is 291 Harding Hwy, Suite A, Carneys Point, NJ 08069-2229 and can be reached out via phone at 856-299-9229 and via fax at 856-299-9226.

Provider Profile Details

NPI Number
1306992367
Provider Name
Jason James Supernavage
Credential
MSPT
Provider Entity Type
Individual
Gender
Male
Address
291 Harding Hwy, Suite A, Carneys Point, NJ 08069-2229
Phone Number
856-299-9229
Fax Number
856-299-9226
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 25, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
291 Harding Hwy
Suite A
Carneys Point, NJ 08069-2229
Zip
08069-2229
Phone Number
856-299-9229
Fax Number
856-299-9226
Carneys Point, NJ 08069Get directions →

Provider Business Mailing Address Details

Address
54 Maryland Ave
Pennsville, NJ 08070-1528
City
Pennsville
State
NJ
Zip
08070-1528
Phone Number
856-678-8078

License Information

License Number
40QA01075700
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. Jason J Supernavage, MSPT?

The NPI number of Mr. Jason J Supernavage, MSPT is 1306992367. It was assigned on January 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Jason J Supernavage, MSPT?

Mr. Jason J Supernavage, MSPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01075700.

Where does Mr. Jason J Supernavage, MSPT practice?

The practice location is 291 Harding Hwy, Suite A, Carneys Point, NJ 08069-2229. The office can be reached at 856-299-9229 (phone) or 856-299-9226 (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 1306992367 directly on the NPPES registry website.

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