Active NPIIndividual providerSole proprietor

Jeremy D Bongiovanni, DPT

Physical Therapist in Hoboken, New Jersey

NPI Number1467068809
Practice location
608 Washington St, Hoboken, NJ 07030-5170
Fax
201-484-7123
Last updated
January 28, 2022

Jeremy David Bongiovanni is a Physical Therapist based in Hoboken, NJ. Jeremy David Bongiovanni practices in Hoboken, NJ and has the professional credentials of DPT. The NPI Number for Jeremy David Bongiovanni is 1467068809 and holds a License No. 40QA01948700 (NJ). The current practice location address for Jeremy David Bongiovanni is 608 Washington St, Hoboken, NJ 07030-5170 and can be reached out via phone at 201-484-0134 and via fax at 201-484-7123.

Provider Profile Details

NPI Number
1467068809
Provider Name
Jeremy David Bongiovanni
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
608 Washington St, Hoboken, NJ 07030-5170
Phone Number
201-484-0134
Fax Number
201-484-7123
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2020
Last Update Date
January 28, 2022
Certification Date
January 28, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
608 Washington St
Hoboken, NJ 07030-5170
Zip
07030-5170
Phone Number
201-484-0134
Fax Number
201-484-7123
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
City
White Plains
State
NY
Zip
10605-5224
Phone Number
888-830-4125

License Information

Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
40QA01948700
License State (2)
NJ
Taxonomy (2)
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 Jeremy D Bongiovanni, DPT?

The NPI number of Jeremy D Bongiovanni, DPT is 1467068809. It was assigned on September 21, 2020 and is currently active in the NPPES registry.

What is the specialty of Jeremy D Bongiovanni, DPT?

Jeremy D Bongiovanni, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01948700.

Where does Jeremy D Bongiovanni, DPT practice?

The practice location is 608 Washington St, Hoboken, NJ 07030-5170. The office can be reached at 201-484-0134 (phone) or 201-484-7123 (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 1467068809 directly on the NPPES registry website.

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