Active NPIIndividual providerSole proprietor

Edilberto O Estomo Jr.

Physical Therapist in Bergenfield, New Jersey

NPI Number1720138191
Practice location
54 E Main St, Bergenfield, NJ 07621
Fax
973-909-7656
Last updated
February 22, 2008

Edilberto O Estomo is a Physical Therapist based in Bergenfield, NJ. Edilberto O Estomo practices in Bergenfield, NJ. The NPI Number for Edilberto O Estomo is 1720138191 and holds a License No. 40QA00520400 (NJ). The current practice location address for Edilberto O Estomo is 54 E Main St, Bergenfield, NJ 07621 and can be reached out via phone at 201-874-9084 and via fax at 973-909-7656.

Provider Profile Details

NPI Number
1720138191
Provider Name
Edilberto O Estomo
Provider Entity Type
Individual
Gender
Male
Address
54 E Main St, Bergenfield, NJ 07621
Phone Number
201-874-9084
Fax Number
973-909-7656
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 10, 2007
Last Update Date
February 22, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 E Main St
Bergenfield, NJ 07621
Zip
07621
Phone Number
201-874-9084
Fax Number
973-909-7656
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
Po Box 29
Edgewater, NJ 07020
City
Edgewater
State
NJ
Zip
07020
Phone Number
973-361-6054
Fax Number
973-361-0272

License Information

License Number
40QA00520400
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 Edilberto O Estomo Jr.?

The NPI number of Edilberto O Estomo Jr. is 1720138191. It was assigned on January 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Edilberto O Estomo Jr.?

Edilberto O Estomo Jr. is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00520400.

Where does Edilberto O Estomo Jr. practice?

The practice location is 54 E Main St, Bergenfield, NJ 07621. The office can be reached at 201-874-9084 (phone) or 973-909-7656 (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 1720138191 directly on the NPPES registry website.

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