Active NPIIndividual providerSole proprietor

Maricris Formoso-Santos, PT

Physical Therapist in Fair Lawn, New Jersey

NPI Number1427284025
Practice location
9-11 Westmoreland Ave # 401, Fair Lawn, NJ 07410-1923
Fax
—
Last updated
February 8, 2021

Maricris Formoso-Santos is a Physical Therapist based in Fair Lawn, NJ. Maricris Formoso-Santos practices in Fair Lawn, NJ and has the professional credentials of PT. The NPI Number for Maricris Formoso-Santos is 1427284025 and holds a License No. 028196-1 (NY). The current practice location address for Maricris Formoso-Santos is 9-11 Westmoreland Ave # 401, Fair Lawn, NJ 07410-1923 and can be reached out via phone at 646-918-4670.

Provider Profile Details

NPI Number
1427284025
Provider Name
Maricris Formoso-Santos
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
9-11 Westmoreland Ave # 401, Fair Lawn, NJ 07410-1923
Phone Number
646-918-4670
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
June 9, 2009
Last Update Date
February 8, 2021
Certification Date
February 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
9-11 Westmoreland Ave # 401
Fair Lawn, NJ 07410-1923
Zip
07410-1923
Phone Number
646-918-4670
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
9-11 Westmoreland Ave # 401
Fair Lawn, NJ 07410-1923
City
Fair Lawn
State
NJ
Zip
07410-1923
Phone Number
646-918-4670

License Information

License Number (1)
028196-1
License State (1)
NY
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
40QA01313000
License State (2)
NJ
Taxonomy (2)
Physical Therapist · 225100000X

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 Maricris Formoso-Santos, PT?

The NPI number of Maricris Formoso-Santos, PT is 1427284025. It was assigned on June 9, 2009 and is currently active in the NPPES registry.

What is the specialty of Maricris Formoso-Santos, PT?

Maricris Formoso-Santos, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 028196-1.

Where does Maricris Formoso-Santos, PT practice?

The practice location is 9-11 Westmoreland Ave # 401, Fair Lawn, NJ 07410-1923. The office can be reached at 646-918-4670 (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 1427284025 directly on the NPPES registry website.

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