Mrs. Shanaz Martin, PT, LNHA
Physical Therapist in Wyckoff, New Jersey
1508100231- Practice location
- 301 Sicomac Ave, Wyckoff, NJ 07481-2159
- Phone
- 201-848-4323
- Fax
- —
- Last updated
- November 19, 2012
Shanaz Martin is a Physical Therapist based in Wyckoff, NJ. Shanaz Martin practices in Wyckoff, NJ and has the professional credentials of PT, LNHA. The NPI Number for Shanaz Martin is 1508100231 and holds a License No. 40QA01143300 (NJ). The current practice location address for Shanaz Martin is 301 Sicomac Ave, Wyckoff, NJ 07481-2159 and can be reached out via phone at 201-848-4323.
Provider Profile Details
- NPI Number
- 1508100231
- Provider Name
- Shanaz Martin
- Credential
- PT, LNHA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 301 Sicomac Ave, Wyckoff, NJ 07481-2159
- Phone Number
- 201-848-4323
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 19, 2012
- Last Update Date
- November 19, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 301 Sicomac Ave
Wyckoff, NJ 07481-2159 - City
- Wyckoff
- State
- New Jersey
- Zip
- 07481-2159
- Phone Number
- 201-848-4323
Provider Business Mailing Address Details
- Address
- 15 Lorrie Ln
Wanaque, NJ 07465-1104 - City
- Wanaque
- State
- NJ
- Zip
- 07465-1104
- Phone Number
- 973-986-3014
- Fax Number
- 201-848-4259
License Information
- License Number (1)
- 40QA01143300
- License State (1)
- NJ
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License Number (2)
- 022493-1
- License State (2)
- NY
- Taxonomy (2)
- Physical Therapist · 225100000X
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 Mrs. Shanaz Martin, PT, LNHA?
The NPI number of Mrs. Shanaz Martin, PT, LNHA is 1508100231. It was assigned on November 19, 2012 and is currently active in the NPPES registry.
What is the specialty of Mrs. Shanaz Martin, PT, LNHA?
Mrs. Shanaz Martin, PT, LNHA is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01143300.
Where does Mrs. Shanaz Martin, PT, LNHA practice?
The practice location is 301 Sicomac Ave, Wyckoff, NJ 07481-2159. The office can be reached at 201-848-4323 (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 1508100231 directly on the NPPES registry website.