Active NPIIndividual provider

Mr. Saman Ebrahimzadeh

Physical Therapy Assistant in Newark, New Jersey

NPI Number1780341966
Practice location
225 Mcwhorter Street, Newark, NJ 07105
Fax
844-857-2827
Last updated
November 22, 2021

Saman Ebrahimzadeh is a Physical Therapy Assistant based in Newark, NJ. Saman Ebrahimzadeh practices in Newark, NJ. The NPI Number for Saman Ebrahimzadeh is 1780341966 and holds a License No. 40QB00389300 (NJ). The current practice location address for Saman Ebrahimzadeh is 225 Mcwhorter Street, Newark, NJ 07105 and can be reached out via phone at 973-494-0858 and via fax at 844-857-2827.

Provider Profile Details

NPI Number
1780341966
Provider Name
Saman Ebrahimzadeh
Provider Entity Type
Individual
Gender
Male
Address
225 Mcwhorter Street, Newark, NJ 07105
Phone Number
973-494-0858
Fax Number
844-857-2827
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
November 22, 2021
Last Update Date
November 22, 2021
Certification Date
November 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
225 Mcwhorter Street
Newark, NJ 07105
City
Newark
Zip
07105
Phone Number
973-494-0858
Fax Number
844-857-2827
Newark, NJ 07105Get directions →

Provider Business Mailing Address Details

Address
414 Hackensack Ave Apt 1406
Hackensack, NJ 07601-6581
City
Hackensack
State
NJ
Zip
07601-6581
Phone Number
201-406-5273

License Information

License Number
40QB00389300
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 Mr. Saman Ebrahimzadeh?

The NPI number of Mr. Saman Ebrahimzadeh is 1780341966. It was assigned on November 22, 2021 and is currently active in the NPPES registry.

What is the specialty of Mr. Saman Ebrahimzadeh?

Mr. Saman Ebrahimzadeh is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00389300.

Where does Mr. Saman Ebrahimzadeh practice?

The practice location is 225 Mcwhorter Street, Newark, NJ 07105. The office can be reached at 973-494-0858 (phone) or 844-857-2827 (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 1780341966 directly on the NPPES registry website.

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