Active NPIIndividual provider

Mr. Roderick Agonoy Lu, PT

Physical Therapist in Kendall Park, New Jersey

NPI Number1679917215
Practice location
23 Greyhound CT, Kendall Park, NJ 08824-1492
Fax
—
Last updated
March 20, 2014

Roderick Agonoy Lu is a Physical Therapist based in Kendall Park, NJ. Roderick Agonoy Lu practices in Kendall Park, NJ and has the professional credentials of PT. The NPI Number for Roderick Agonoy Lu is 1679917215 and holds a License No. PTQAOOO7498 (NJ). The current practice location address for Roderick Agonoy Lu is 23 Greyhound CT, Kendall Park, NJ 08824-1492 and can be reached out via phone at 732-599-9310.

Provider Profile Details

NPI Number
1679917215
Provider Name
Roderick Agonoy Lu
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
23 Greyhound CT, Kendall Park, NJ 08824-1492
Phone Number
732-599-9310
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
April 25, 2013
Last Update Date
March 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Greyhound CT
Kendall Park, NJ 08824-1492
Zip
08824-1492
Phone Number
732-599-9310
Kendall Park, NJ 08824Get directions →

Provider Business Mailing Address Details

Address
23 Greyhound CT
Kendall Park, NJ 08824-1492
City
Kendall Park
State
NJ
Zip
08824-1492
Phone Number
732-599-9310

License Information

License Number
PTQAOOO7498
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. Roderick Agonoy Lu, PT?

The NPI number of Mr. Roderick Agonoy Lu, PT is 1679917215. It was assigned on April 25, 2013 and is currently active in the NPPES registry.

What is the specialty of Mr. Roderick Agonoy Lu, PT?

Mr. Roderick Agonoy Lu, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number PTQAOOO7498.

Where does Mr. Roderick Agonoy Lu, PT practice?

The practice location is 23 Greyhound CT, Kendall Park, NJ 08824-1492. The office can be reached at 732-599-9310 (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 1679917215 directly on the NPPES registry website.

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