Active NPIIndividual providerSole proprietor

Krishna C Pendem

Physical Therapy Assistant in Jersey City, New Jersey

NPI Number1598244220
Practice location
15 Stagg St, Jersey City, NJ 07306-3413
Fax
—
Last updated
August 13, 2018

Krishna C Pendem is a Physical Therapy Assistant based in Jersey City, NJ. Krishna C Pendem practices in Jersey City, NJ. The NPI Number for Krishna C Pendem is 1598244220 and holds a License No. 010406-1 (NY). The current practice location address for Krishna C Pendem is 15 Stagg St, Jersey City, NJ 07306-3413 and can be reached out via phone at 803-446-7856.

Provider Profile Details

NPI Number
1598244220
Provider Name
Krishna C Pendem
Provider Entity Type
Individual
Gender
Male
Address
15 Stagg St, Jersey City, NJ 07306-3413
Phone Number
803-446-7856
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
August 13, 2018
Last Update Date
August 13, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Stagg St
Jersey City, NJ 07306-3413
Zip
07306-3413
Phone Number
803-446-7856
Jersey City, NJ 07306Get directions →

Provider Business Mailing Address Details

Address
15 Stagg St
Jersey City, NJ 07306-3413
City
Jersey City
State
NJ
Zip
07306-3413
Phone Number
803-446-7856

License Information

License Number
010406-1
License State
NY
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 Krishna C Pendem?

The NPI number of Krishna C Pendem is 1598244220. It was assigned on August 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Krishna C Pendem?

Krishna C Pendem is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NY under license number 010406-1.

Where does Krishna C Pendem practice?

The practice location is 15 Stagg St, Jersey City, NJ 07306-3413. The office can be reached at 803-446-7856 (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 1598244220 directly on the NPPES registry website.

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