Active NPIIndividual provider

Rakesha Dataram

Physical Therapy Assistant in Paterson, New Jersey

NPI Number1477388056
Practice location
922 Main St, Paterson, NJ 07503-2602
Fax
—
Last updated
September 4, 2024

Rakesha Dataram is a Physical Therapy Assistant based in Paterson, NJ. Rakesha Dataram practices in Paterson, NJ. The NPI Number for Rakesha Dataram is 1477388056 and holds a License No. 40QB00415400 (NJ). The current practice location address for Rakesha Dataram is 922 Main St, Paterson, NJ 07503-2602 and can be reached out via phone at 201-398-6721.

Provider Profile Details

NPI Number
1477388056
Provider Name
Rakesha Dataram
Provider Entity Type
Individual
Gender
Male
Address
922 Main St, Paterson, NJ 07503-2602
Phone Number
201-398-6721
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
September 4, 2024
Last Update Date
September 4, 2024
Certification Date
September 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
922 Main St
Paterson, NJ 07503-2602
Zip
07503-2602
Phone Number
201-398-6721
Paterson, NJ 07503Get directions →

Provider Business Mailing Address Details

Address
65 Roosevelt Ave
Ridgefield Park, NJ 07660-1238
City
Ridgefield Park
State
NJ
Zip
07660-1238
Phone Number
201-398-6721

License Information

License Number
40QB00415400
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Rakesha Dataram?

The NPI number of Rakesha Dataram is 1477388056. It was assigned on September 4, 2024 and is currently active in the NPPES registry.

What is the specialty of Rakesha Dataram?

Rakesha Dataram is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00415400.

Where does Rakesha Dataram practice?

The practice location is 922 Main St, Paterson, NJ 07503-2602. The office can be reached at 201-398-6721 (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 1477388056 directly on the NPPES registry website.

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