Jennifer Beredo, PT
Physical Medicine & Rehabilitation in Bayonne, New Jersey
1467536219- Practice location
- 564 Broadway Ste 2A, Bayonne, NJ 07002-3825
- Phone
- 201-339-8889
- Fax
- —
- Last updated
- July 8, 2007
Jennifer Beredo is a Physical Medicine & Rehabilitation based in Bayonne, NJ. Jennifer Beredo practices in Bayonne, NJ and has the professional credentials of PT. The NPI Number for Jennifer Beredo is 1467536219 and holds a License No. RPT40QA01057900 (NJ). The current practice location address for Jennifer Beredo is 564 Broadway Ste 2A, Bayonne, NJ 07002-3825 and can be reached out via phone at 201-339-8889.
Provider Profile Details
- NPI Number
- 1467536219
- Provider Name
- Jennifer Beredo
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 564 Broadway Ste 2A, Bayonne, NJ 07002-3825
- Phone Number
- 201-339-8889
- Primary Taxonomy
- Physical Medicine & Rehabilitation · 208100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 25, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 564 Broadway Ste 2A
Bayonne, NJ 07002-3825 - City
- Bayonne
- State
- New Jersey
- Zip
- 07002-3825
- Phone Number
- 201-339-8889
Provider Business Mailing Address Details
- Address
- 564 Broadway Ste 2A
Bayonne, NJ 07002-3825 - City
- Bayonne
- State
- NJ
- Zip
- 07002-3825
- Phone Number
- 201-339-8889
License Information
- License Number
- RPT40QA01057900
- License State
- NJ
- Taxonomy
- Physical Medicine & Rehabilitation · 208100000X · 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 Jennifer Beredo, PT?
The NPI number of Jennifer Beredo, PT is 1467536219. It was assigned on October 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Jennifer Beredo, PT?
Jennifer Beredo, PT is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in NJ under license number RPT40QA01057900.
Where does Jennifer Beredo, PT practice?
The practice location is 564 Broadway Ste 2A, Bayonne, NJ 07002-3825. The office can be reached at 201-339-8889 (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 1467536219 directly on the NPPES registry website.