Beredo Physical Therapy And Wellness, LLC
Specialist in Bayonne, New Jersey
1457780421- Practice location
- 267 Broadway, Bayonne, NJ 07002-2519
- Phone
- 201-354-9580
- Fax
- 201-354-9581
- Last updated
- November 11, 2013
Beredo Physical Therapy And Wellness, LLC is a healthcare organization based in Bayonne, NJ. Beredo Physical Therapy And Wellness, LLC practices in Bayonne, NJ. The NPI Number for Beredo Physical Therapy And Wellness, LLC is 1457780421 and holds a License No. 40QA01002900 (NJ). The current practice location address for Beredo Physical Therapy And Wellness, LLC is 267 Broadway, Bayonne, NJ 07002-2519 and can be reached out via phone at 201-354-9580 and via fax at 201-354-9581.
Provider Profile Details
- NPI Number
- 1457780421
- Provider Name
- Beredo Physical Therapy And Wellness, LLC
- Provider Entity Type
- Organization
- Address
- 267 Broadway, Bayonne, NJ 07002-2519
- Phone Number
- 201-354-9580
- Fax Number
- 201-354-9581
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Gary Beredo, RPT · Physical Therapist/Ceo · 201-354-9580
- Provider Enumeration Date
- November 11, 2013
- Last Update Date
- November 11, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 267 Broadway
Bayonne, NJ 07002-2519 - City
- Bayonne
- State
- New Jersey
- Zip
- 07002-2519
- Phone Number
- 201-354-9580
- Fax Number
- 201-354-9581
Provider Business Mailing Address Details
- Address
- 267 Broadway
Bayonne, NJ 07002-2519 - City
- Bayonne
- State
- NJ
- Zip
- 07002-2519
- Phone Number
- 201-354-9580
- Fax Number
- 201-354-9581
License Information
- License Number
- 40QA01002900
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · 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 Beredo Physical Therapy And Wellness, LLC?
The NPI number of Beredo Physical Therapy And Wellness, LLC is 1457780421. It was assigned on November 11, 2013 and is currently active in the NPPES registry.
What is the specialty of Beredo Physical Therapy And Wellness, LLC?
Beredo Physical Therapy And Wellness, LLC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 40QA01002900.
Where does Beredo Physical Therapy And Wellness, LLC practice?
The practice location is 267 Broadway, Bayonne, NJ 07002-2519. The office can be reached at 201-354-9580 (phone) or 201-354-9581 (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 1457780421 directly on the NPPES registry website.