Active NPIIndividual provider

Andy Desormes

Physical Therapy Assistant in Englewood, New Jersey

NPI Number1538632542
Practice location
155 W Hudson Ave, Englewood, NJ 07631-1609
Fax
—
Last updated
January 3, 2019

Andy Desormes is a Physical Therapy Assistant based in Englewood, NJ. Andy Desormes practices in Englewood, NJ. The NPI Number for Andy Desormes is 1538632542 and holds a License No. 40QB00288600 (NJ). The current practice location address for Andy Desormes is 155 W Hudson Ave, Englewood, NJ 07631-1609 and can be reached out via phone at 201-871-8882.

Provider Profile Details

NPI Number
1538632542
Provider Name
Andy Desormes
Provider Entity Type
Individual
Gender
Male
Address
155 W Hudson Ave, Englewood, NJ 07631-1609
Phone Number
201-871-8882
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
January 3, 2019
Last Update Date
January 3, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 W Hudson Ave
Englewood, NJ 07631-1609
Zip
07631-1609
Phone Number
201-871-8882
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
155 W Hudson Ave
Englewood, NJ 07631-1609
City
Englewood
State
NJ
Zip
07631-1609
Phone Number
201-871-8882

License Information

License Number
40QB00288600
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 Andy Desormes?

The NPI number of Andy Desormes is 1538632542. It was assigned on January 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Andy Desormes?

Andy Desormes is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00288600.

Where does Andy Desormes practice?

The practice location is 155 W Hudson Ave, Englewood, NJ 07631-1609. The office can be reached at 201-871-8882 (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 1538632542 directly on the NPPES registry website.

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