Active NPIIndividual providerSole proprietor

Mr. Rey Moises F Vitug, PTA

Physical Therapy Assistant in Orange, New Jersey

NPI Number1538331442
Practice location
560 Berkeley Ave, Orange, NJ 07050-2109
Fax
—
Last updated
September 20, 2011

Rey Moises Fajardo Vitug is a Physical Therapy Assistant based in Orange, NJ. Rey Moises Fajardo Vitug practices in Orange, NJ and has the professional credentials of PTA. The NPI Number for Rey Moises Fajardo Vitug is 1538331442 and holds a License No. 40QB00194900 (NJ). The current practice location address for Rey Moises Fajardo Vitug is 560 Berkeley Ave, Orange, NJ 07050-2109 and can be reached out via phone at 973-672-6500.

Provider Profile Details

NPI Number
1538331442
Provider Name
Rey Moises Fajardo Vitug
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
560 Berkeley Ave, Orange, NJ 07050-2109
Phone Number
973-672-6500
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
March 31, 2008
Last Update Date
September 20, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
560 Berkeley Ave
Orange, NJ 07050-2109
City
Orange
Zip
07050-2109
Phone Number
973-672-6500
Orange, NJ 07050Get directions →

Provider Business Mailing Address Details

Address
9 Towers St
Jersey City, NJ 07305-1004
City
Jersey City
State
NJ
Zip
07305-1004
Phone Number
201-333-8987

License Information

License Number
40QB00194900
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 Mr. Rey Moises F Vitug, PTA?

The NPI number of Mr. Rey Moises F Vitug, PTA is 1538331442. It was assigned on March 31, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Rey Moises F Vitug, PTA?

Mr. Rey Moises F Vitug, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00194900.

Where does Mr. Rey Moises F Vitug, PTA practice?

The practice location is 560 Berkeley Ave, Orange, NJ 07050-2109. The office can be reached at 973-672-6500 (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 1538331442 directly on the NPPES registry website.

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