Active NPIIndividual providerSole proprietor

Mr. Sofoluwe O Songonuga, PT

Physical Therapist in South Orange, New Jersey

NPI Number1619017571
Practice location
525 Patricia CT, South Orange, NJ 07079-2701
Fax
973-313-9041
Last updated
July 8, 2007

Sofoluwe O Songonuga is a Physical Therapist based in South Orange, NJ. Sofoluwe O Songonuga practices in South Orange, NJ and has the professional credentials of PT. The NPI Number for Sofoluwe O Songonuga is 1619017571 and holds a License No. 015381 (NY). The current practice location address for Sofoluwe O Songonuga is 525 Patricia CT, South Orange, NJ 07079-2701 and can be reached out via phone at 201-407-7965 and via fax at 973-313-9041.

Provider Profile Details

NPI Number
1619017571
Provider Name
Sofoluwe O Songonuga
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
525 Patricia CT, South Orange, NJ 07079-2701
Phone Number
201-407-7965
Fax Number
973-313-9041
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
February 7, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
525 Patricia CT
South Orange, NJ 07079-2701
Zip
07079-2701
Phone Number
201-407-7965
Fax Number
973-313-9041
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
525 Patricia CT
South Orange, NJ 07079-2701
City
South Orange
State
NJ
Zip
07079-2701
Phone Number
201-407-7965
Fax Number
973-313-9041

License Information

License Number
015381
License State
NY
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 Mr. Sofoluwe O Songonuga, PT?

The NPI number of Mr. Sofoluwe O Songonuga, PT is 1619017571. It was assigned on February 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Sofoluwe O Songonuga, PT?

Mr. Sofoluwe O Songonuga, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 015381.

Where does Mr. Sofoluwe O Songonuga, PT practice?

The practice location is 525 Patricia CT, South Orange, NJ 07079-2701. The office can be reached at 201-407-7965 (phone) or 973-313-9041 (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 1619017571 directly on the NPPES registry website.

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