Active NPIIndividual provider

Jenna M Tambasco, PT, DPT

Physical Therapist in Vernon, New Jersey

NPI Number1558831313
Practice location
212 State Rt 94 Unit 2G2H, Vernon, NJ 07462-3328
Fax
—
Last updated
December 4, 2018

Jenna Marie Tambasco is a Physical Therapist based in Vernon, NJ. Jenna Marie Tambasco practices in Vernon, NJ and has the professional credentials of PT, DPT. The NPI Number for Jenna Marie Tambasco is 1558831313 and holds a License No. 40QA01830500 (NJ). The current practice location address for Jenna Marie Tambasco is 212 State Rt 94 Unit 2G2H, Vernon, NJ 07462-3328 and can be reached out via phone at 973-209-0086.

Provider Profile Details

NPI Number
1558831313
Provider Name
Jenna Marie Tambasco
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
212 State Rt 94 Unit 2G2H, Vernon, NJ 07462-3328
Phone Number
973-209-0086
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
December 4, 2018
Last Update Date
December 4, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
212 State Rt 94 Unit 2G2H
Vernon, NJ 07462-3328
City
Vernon
Zip
07462-3328
Phone Number
973-209-0086
Vernon, NJ 07462Get directions →

Provider Business Mailing Address Details

Address
23 Sandra Ln
Sparta, NJ 07871-2846
City
Sparta
State
NJ
Zip
07871-2846
Phone Number
862-266-6594

License Information

License Number
40QA01830500
License State
NJ
Taxonomy
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 Jenna M Tambasco, PT, DPT?

The NPI number of Jenna M Tambasco, PT, DPT is 1558831313. It was assigned on December 4, 2018 and is currently active in the NPPES registry.

What is the specialty of Jenna M Tambasco, PT, DPT?

Jenna M Tambasco, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01830500.

Where does Jenna M Tambasco, PT, DPT practice?

The practice location is 212 State Rt 94 Unit 2G2H, Vernon, NJ 07462-3328. The office can be reached at 973-209-0086 (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 1558831313 directly on the NPPES registry website.

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