Active NPIIndividual provider

Peggy L Derosa, PTA

Physical Therapy Assistant in Basking Ridge, New Jersey

NPI Number1619237252
Practice location
9000 Fellowship RD, Basking Ridge, NJ 07920-3912
Fax
—
Last updated
May 16, 2012

Peggy L Derosa is a Physical Therapy Assistant based in Basking Ridge, NJ. Peggy L Derosa practices in Basking Ridge, NJ and has the professional credentials of PTA. The NPI Number for Peggy L Derosa is 1619237252 and holds a License No. 40QB00132900 (NJ). The current practice location address for Peggy L Derosa is 9000 Fellowship RD, Basking Ridge, NJ 07920-3912 and can be reached out via phone at 908-580-3827.

Provider Profile Details

NPI Number
1619237252
Provider Name
Peggy L Derosa
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
9000 Fellowship RD, Basking Ridge, NJ 07920-3912
Phone Number
908-580-3827
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
May 16, 2012
Last Update Date
May 16, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
9000 Fellowship RD
Basking Ridge, NJ 07920-3912
Zip
07920-3912
Phone Number
908-580-3827
Basking Ridge, NJ 07920Get directions →

Provider Business Mailing Address Details

Address
9000 Fellowship RD
Basking Ridge, NJ 07920-3912
City
Basking Ridge
State
NJ
Zip
07920-3912
Phone Number
908-580-3827

License Information

License Number
40QB00132900
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 Peggy L Derosa, PTA?

The NPI number of Peggy L Derosa, PTA is 1619237252. It was assigned on May 16, 2012 and is currently active in the NPPES registry.

What is the specialty of Peggy L Derosa, PTA?

Peggy L Derosa, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00132900.

Where does Peggy L Derosa, PTA practice?

The practice location is 9000 Fellowship RD, Basking Ridge, NJ 07920-3912. The office can be reached at 908-580-3827 (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 1619237252 directly on the NPPES registry website.

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