Active NPIIndividual provider

Mr. Lawrence Hernandez

Physical Therapist in Fanwood, New Jersey

NPI Number1619057122
Practice location
313 South Ave, Suite #205 Panther PT And Sports Medicine, Fanwood, NJ 07023
Fax
908-889-6003
Last updated
July 8, 2007

Lawrence Hernandez is a Physical Therapist based in Fanwood, NJ. Lawrence Hernandez practices in Fanwood, NJ. The NPI Number for Lawrence Hernandez is 1619057122 and holds a License No. QA08639 (NJ). The current practice location address for Lawrence Hernandez is 313 South Ave, Suite #205 Panther PT And Sports Medicine, Fanwood, NJ 07023 and can be reached out via phone at 908-889-7900 and via fax at 908-889-6003.

Provider Profile Details

NPI Number
1619057122
Provider Name
Lawrence Hernandez
Provider Entity Type
Individual
Gender
Male
Address
313 South Ave, Suite #205 Panther PT And Sports Medicine, Fanwood, NJ 07023
Phone Number
908-889-7900
Fax Number
908-889-6003
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
October 17, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
313 South Ave
Suite #205 Panther PT And Sports Medicine
Fanwood, NJ 07023
Zip
07023
Phone Number
908-889-7900
Fax Number
908-889-6003
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
313 South Ave
Suite #205 Lawrence Hernandez
Fanwood, NJ 07023
City
Fanwood
State
NJ
Zip
07023
Phone Number
908-889-7900
Fax Number
908-889-6003

License Information

License Number
QA08639
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 Mr. Lawrence Hernandez?

The NPI number of Mr. Lawrence Hernandez is 1619057122. It was assigned on October 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Lawrence Hernandez?

Mr. Lawrence Hernandez is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number QA08639.

Where does Mr. Lawrence Hernandez practice?

The practice location is 313 South Ave, Suite #205 Panther PT And Sports Medicine, Fanwood, NJ 07023. The office can be reached at 908-889-7900 (phone) or 908-889-6003 (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 1619057122 directly on the NPPES registry website.

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