Mr. Randal S Fedoruk, OT
Occupational Therapist, Pediatrics in Newark, New Jersey
1437360575- Practice location
- 65 Bergen St, Newark, NJ 07107-3001
- Phone
- 973-972-0186
- Fax
- —
- Last updated
- July 8, 2007
Randal Stuart Fedoruk is an Occupational Therapist, Pediatrics based in Newark, NJ. Randal Stuart Fedoruk practices in Newark, NJ and has the professional credentials of OT. The NPI Number for Randal Stuart Fedoruk is 1437360575 and holds a License No. TR4600247500 (NJ). The current practice location address for Randal Stuart Fedoruk is 65 Bergen St, Newark, NJ 07107-3001 and can be reached out via phone at 973-972-0186.
Provider Profile Details
- NPI Number
- 1437360575
- Provider Name
- Randal Stuart Fedoruk
- Credential
- OT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 65 Bergen St, Newark, NJ 07107-3001
- Phone Number
- 973-972-0186
- Primary Taxonomy
- Occupational Therapist, Pediatrics · 225XP0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 24, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 Bergen St
Newark, NJ 07107-3001 - City
- Newark
- State
- New Jersey
- Zip
- 07107-3001
- Phone Number
- 973-972-0186
Provider Business Mailing Address Details
- Address
- 530 Moose Hill RD
Guilford, CT 06437-4337 - City
- Guilford
- State
- CT
- Zip
- 06437-4337
- Phone Number
- 917-279-0906
- Fax Number
- 203-286-1688
License Information
- License Number
- TR4600247500
- License State
- NJ
- Taxonomy
- Occupational Therapist, Pediatrics · 225XP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Randal S Fedoruk, OT?
The NPI number of Mr. Randal S Fedoruk, OT is 1437360575. It was assigned on May 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Randal S Fedoruk, OT?
Mr. Randal S Fedoruk, OT is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in NJ under license number TR4600247500.
Where does Mr. Randal S Fedoruk, OT practice?
The practice location is 65 Bergen St, Newark, NJ 07107-3001. The office can be reached at 973-972-0186 (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 1437360575 directly on the NPPES registry website.