Active NPIIndividual provider

Ely Boy Racoma, RPT

Physical Therapist in Union City, New Jersey

NPI Number1730249434
Practice location
711 32ND Street, Union City, NJ 07087
Fax
201-866-8340
Last updated
July 8, 2007

Ely Boy Racoma is a Physical Therapist based in Union City, NJ. Ely Boy Racoma practices in Union City, NJ and has the professional credentials of RPT. The NPI Number for Ely Boy Racoma is 1730249434 and holds a License No. 40QA01154400 (NJ). The current practice location address for Ely Boy Racoma is 711 32ND Street, Union City, NJ 07087 and can be reached out via phone at 201-866-0600 and via fax at 201-866-8340.

Provider Profile Details

NPI Number
1730249434
Provider Name
Ely Boy Racoma
Credential
RPT
Provider Entity Type
Individual
Gender
Male
Address
711 32ND Street, Union City, NJ 07087
Phone Number
201-866-0600
Fax Number
201-866-8340
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
December 11, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
711 32ND Street
Union City, NJ 07087
Zip
07087
Phone Number
201-866-0600
Fax Number
201-866-8340
Union City, NJ 07087Get directions →

Provider Business Mailing Address Details

Address
711 32ND Street
Union City, NJ 07087
City
Union City
State
NJ
Zip
07087
Phone Number
201-866-0600
Fax Number
201-866-8340

License Information

License Number
40QA01154400
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 Ely Boy Racoma, RPT?

The NPI number of Ely Boy Racoma, RPT is 1730249434. It was assigned on December 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Ely Boy Racoma, RPT?

Ely Boy Racoma, RPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01154400.

Where does Ely Boy Racoma, RPT practice?

The practice location is 711 32ND Street, Union City, NJ 07087. The office can be reached at 201-866-0600 (phone) or 201-866-8340 (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 1730249434 directly on the NPPES registry website.

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