Active NPIIndividual provider

Edit Punk, PTA

Physical Therapy Assistant in Randolph, New Jersey

NPI Number1679070056
Practice location
540 Route 10 W, Randolph, NJ 07869-2026
Fax
973-366-9427
Last updated
April 11, 2018

Edit Punk is a Physical Therapy Assistant based in Randolph, NJ. Edit Punk practices in Randolph, NJ and has the professional credentials of PTA. The NPI Number for Edit Punk is 1679070056 and holds a License No. 40QB00343600 (NJ). The current practice location address for Edit Punk is 540 Route 10 W, Randolph, NJ 07869-2026 and can be reached out via phone at 973-366-6615 and via fax at 973-366-9427.

Provider Profile Details

NPI Number
1679070056
Provider Name
Edit Punk
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
540 Route 10 W, Randolph, NJ 07869-2026
Phone Number
973-366-6615
Fax Number
973-366-9427
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2018
Last Update Date
April 11, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
540 Route 10 W
Randolph, NJ 07869-2026
Zip
07869-2026
Phone Number
973-366-6615
Fax Number
973-366-9427
Randolph, NJ 07869Get directions →

Provider Business Mailing Address Details

Address
540 Route 10 W
Randolph, NJ 07869-2026
City
Randolph
State
NJ
Zip
07869-2026
Phone Number
973-366-6615
Fax Number
973-366-9427

License Information

License Number
40QB00343600
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 Edit Punk, PTA?

The NPI number of Edit Punk, PTA is 1679070056. It was assigned on April 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Edit Punk, PTA?

Edit Punk, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00343600.

Where does Edit Punk, PTA practice?

The practice location is 540 Route 10 W, Randolph, NJ 07869-2026. The office can be reached at 973-366-6615 (phone) or 973-366-9427 (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 1679070056 directly on the NPPES registry website.

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