Active NPIIndividual provider

Kamon Jaksarn

Physical Therapist, Orthopedic in Mahwah, New Jersey

NPI Number1437632015
Practice location
300 Route 17 South, Mahwah, NJ 07430-2141
Fax
—
Last updated
September 10, 2018

Kamon Jaksarn is a Physical Therapist, Orthopedic based in Mahwah, NJ. Kamon Jaksarn practices in Mahwah, NJ. The NPI Number for Kamon Jaksarn is 1437632015 and holds a License No. 40QA01821500 (NJ). The current practice location address for Kamon Jaksarn is 300 Route 17 South, Mahwah, NJ 07430-2141 and can be reached out via phone at 201-529-8322.

Provider Profile Details

NPI Number
1437632015
Provider Name
Kamon Jaksarn
Provider Entity Type
Individual
Gender
Male
Address
300 Route 17 South, Mahwah, NJ 07430-2141
Phone Number
201-529-8322
Primary Taxonomy
Physical Therapist, Orthopedic · 2251X0800X
Sole Proprietor
No
Provider Enumeration Date
September 10, 2018
Last Update Date
September 10, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Route 17 South
Mahwah, NJ 07430-2141
City
Mahwah
Zip
07430-2141
Phone Number
201-529-8322
Mahwah, NJ 07430Get directions →

Provider Business Mailing Address Details

Address
300 Route 17
Mahwah, NJ 07430-2141
City
Mahwah
State
NJ
Zip
07430-2141
Phone Number
201-529-8322

License Information

License Number
40QA01821500
License State
NJ
Taxonomy
Physical Therapist, Orthopedic · 2251X0800X · 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 Kamon Jaksarn?

The NPI number of Kamon Jaksarn is 1437632015. It was assigned on September 10, 2018 and is currently active in the NPPES registry.

What is the specialty of Kamon Jaksarn?

Kamon Jaksarn is registered under the primary taxonomy Physical Therapist, Orthopedic (code 2251X0800X), licensed in NJ under license number 40QA01821500.

Where does Kamon Jaksarn practice?

The practice location is 300 Route 17 South, Mahwah, NJ 07430-2141. The office can be reached at 201-529-8322 (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 1437632015 directly on the NPPES registry website.

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