Active NPIIndividual providerSole proprietor

Mr. Mina Massak, PT

Physical Therapist in Hopelawn, New Jersey

NPI Number1417253006
Practice location
155 New Brunswick Ave, Hopelawn, NJ 08861-4133
Fax
732-826-3613
Last updated
November 13, 2015

Mina Massak is a Physical Therapist based in Hopelawn, NJ. Mina Massak practices in Hopelawn, NJ and has the professional credentials of PT. The NPI Number for Mina Massak is 1417253006 and holds a License No. 40QA01385300 (NJ). The current practice location address for Mina Massak is 155 New Brunswick Ave, Hopelawn, NJ 08861-4133 and can be reached out via phone at 732-641-3620 and via fax at 732-826-3613.

Provider Profile Details

NPI Number
1417253006
Provider Name
Mina Massak
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
155 New Brunswick Ave, Hopelawn, NJ 08861-4133
Phone Number
732-641-3620
Fax Number
732-826-3613
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 31, 2011
Last Update Date
November 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 New Brunswick Ave
Hopelawn, NJ 08861-4133
Zip
08861-4133
Phone Number
732-641-3620
Fax Number
732-826-3613
Hopelawn, NJ 08861Get directions →

Provider Business Mailing Address Details

Address
Po Box 521
Perth Amboy, NJ 08862-0521
City
Perth Amboy
State
NJ
Zip
08862-0521
Phone Number
732-641-3620
Fax Number
732-826-3613

License Information

License Number
40QA01385300
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. Mina Massak, PT?

The NPI number of Mr. Mina Massak, PT is 1417253006. It was assigned on January 31, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Mina Massak, PT?

Mr. Mina Massak, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01385300.

Where does Mr. Mina Massak, PT practice?

The practice location is 155 New Brunswick Ave, Hopelawn, NJ 08861-4133. The office can be reached at 732-641-3620 (phone) or 732-826-3613 (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 1417253006 directly on the NPPES registry website.

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