Active NPIIndividual provider

Renata Tubiak, PTA

Physical Therapy Assistant in North Bergen, New Jersey

NPI Number1679817126
Practice location
3161 Kennedy Blvd, North Bergen, NJ 07047-2303
Fax
—
Last updated
November 23, 2012

Renata Tubiak is a Physical Therapy Assistant based in North Bergen, NJ. Renata Tubiak practices in North Bergen, NJ and has the professional credentials of PTA. The NPI Number for Renata Tubiak is 1679817126 and holds a License No. 40QB00257500 (NJ). The current practice location address for Renata Tubiak is 3161 Kennedy Blvd, North Bergen, NJ 07047-2303 and can be reached out via phone at 201-867-3585.

Provider Profile Details

NPI Number
1679817126
Provider Name
Renata Tubiak
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
3161 Kennedy Blvd, North Bergen, NJ 07047-2303
Phone Number
201-867-3585
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
November 23, 2012
Last Update Date
November 23, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
3161 Kennedy Blvd
North Bergen, NJ 07047-2303
Zip
07047-2303
Phone Number
201-867-3585
North Bergen, NJ 07047Get directions →

Provider Business Mailing Address Details

Address
20B Triumph CT
East Rutherford, NJ 07073-1147
City
East Rutherford
State
NJ
Zip
07073-1147

License Information

License Number
40QB00257500
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 Renata Tubiak, PTA?

The NPI number of Renata Tubiak, PTA is 1679817126. It was assigned on November 23, 2012 and is currently active in the NPPES registry.

What is the specialty of Renata Tubiak, PTA?

Renata Tubiak, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00257500.

Where does Renata Tubiak, PTA practice?

The practice location is 3161 Kennedy Blvd, North Bergen, NJ 07047-2303. The office can be reached at 201-867-3585 (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 1679817126 directly on the NPPES registry website.

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