Active NPIIndividual provider

Fernando Moreno, DPT

Physical Therapist in West New York, New Jersey

NPI Number1548609209
Practice location
6612-18 Bergenline Ave., West New York, NJ 07093
Fax
201-854-5522
Last updated
July 22, 2014

Fernando Moreno is a Physical Therapist based in West New York, NJ. Fernando Moreno practices in West New York, NJ and has the professional credentials of DPT. The NPI Number for Fernando Moreno is 1548609209 and holds a License No. 036219 (NY). The current practice location address for Fernando Moreno is 6612-18 Bergenline Ave., West New York, NJ 07093 and can be reached out via phone at 201-854-5511 and via fax at 201-854-5522.

Provider Profile Details

NPI Number
1548609209
Provider Name
Fernando Moreno
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
6612-18 Bergenline Ave., West New York, NJ 07093
Phone Number
201-854-5511
Fax Number
201-854-5522
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
June 17, 2013
Last Update Date
July 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
6612-18 Bergenline Ave.
West New York, NJ 07093
Zip
07093
Phone Number
201-854-5511
Fax Number
201-854-5522
West New York, NJ 07093Get directions →

Provider Business Mailing Address Details

Address
11 Eagle Rock Ave
Suite 201
East Hanover, NJ 07936-3167
City
East Hanover
State
NJ
Zip
07936-3167
Phone Number
973-887-9000
Fax Number
973-887-3816

License Information

License Number (1)
036219
License State (1)
NY
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
40QA01535200
License State (2)
NJ
Taxonomy (2)
Physical Therapist · 225100000X · 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 Fernando Moreno, DPT?

The NPI number of Fernando Moreno, DPT is 1548609209. It was assigned on June 17, 2013 and is currently active in the NPPES registry.

What is the specialty of Fernando Moreno, DPT?

Fernando Moreno, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 036219.

Where does Fernando Moreno, DPT practice?

The practice location is 6612-18 Bergenline Ave., West New York, NJ 07093. The office can be reached at 201-854-5511 (phone) or 201-854-5522 (fax).

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 1548609209 directly on the NPPES registry website.

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