Active NPIIndividual provider

Ms. Gina Dazos

Physical Therapy Assistant in Maplewood, New Jersey

NPI Number1548686991
Practice location
333 Elmwood Avenue, Maplewood, NJ 07040
Fax
—
Last updated
March 10, 2014

Gina Dazos is a Physical Therapy Assistant based in Maplewood, NJ. Gina Dazos practices in Maplewood, NJ. The NPI Number for Gina Dazos is 1548686991 and holds a License No. 40QB00100800 (NJ). The current practice location address for Gina Dazos is 333 Elmwood Avenue, Maplewood, NJ 07040 and can be reached out via phone at 973-313-2104.

Provider Profile Details

NPI Number
1548686991
Provider Name
Gina Dazos
Provider Entity Type
Individual
Gender
Female
Address
333 Elmwood Avenue, Maplewood, NJ 07040
Phone Number
973-313-2104
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
March 10, 2014
Last Update Date
March 10, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
333 Elmwood Avenue
Maplewood, NJ 07040
Zip
07040
Phone Number
973-313-2104
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
92 Mildred Terrace
Clark, NJ 07066
City
Clark
State
NJ
Zip
07066
Phone Number
732-882-6269

License Information

License Number
40QB00100800
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 Ms. Gina Dazos?

The NPI number of Ms. Gina Dazos is 1548686991. It was assigned on March 10, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Gina Dazos?

Ms. Gina Dazos is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00100800.

Where does Ms. Gina Dazos practice?

The practice location is 333 Elmwood Avenue, Maplewood, NJ 07040. The office can be reached at 973-313-2104 (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 1548686991 directly on the NPPES registry website.

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