Active NPIIndividual provider

Andres Chacon

Physical Therapist in Lyndhurst, New Jersey

NPI Number1366074148
Practice location
70 Ridge RD, Lyndhurst, NJ 07071-1216
Fax
201-933-9958
Last updated
February 10, 2020

Andres Chacon is a Physical Therapist based in Lyndhurst, NJ. Andres Chacon practices in Lyndhurst, NJ. The NPI Number for Andres Chacon is 1366074148 and holds a License No. 40QA01903000 (NJ). The current practice location address for Andres Chacon is 70 Ridge RD, Lyndhurst, NJ 07071-1216 and can be reached out via phone at 201-933-9959 and via fax at 201-933-9958.

Provider Profile Details

NPI Number
1366074148
Provider Name
Andres Chacon
Provider Entity Type
Individual
Gender
Male
Address
70 Ridge RD, Lyndhurst, NJ 07071-1216
Phone Number
201-933-9959
Fax Number
201-933-9958
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
February 10, 2020
Last Update Date
February 10, 2020
Certification Date
February 10, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Ridge RD
Lyndhurst, NJ 07071-1216
Zip
07071-1216
Phone Number
201-933-9959
Fax Number
201-933-9958
Lyndhurst, NJ 07071Get 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
Fax Number
631-396-0864

License Information

License Number
40QA01903000
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 Andres Chacon?

The NPI number of Andres Chacon is 1366074148. It was assigned on February 10, 2020 and is currently active in the NPPES registry.

What is the specialty of Andres Chacon?

Andres Chacon is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01903000.

Where does Andres Chacon practice?

The practice location is 70 Ridge RD, Lyndhurst, NJ 07071-1216. The office can be reached at 201-933-9959 (phone) or 201-933-9958 (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 1366074148 directly on the NPPES registry website.

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