Active NPIIndividual providerSole proprietor

Mark E Vaccaro, PT

Physical Therapist in Waldwick, New Jersey

NPI Number1780356360
Practice location
168 Franklin Tpke Ste 103B, Waldwick, NJ 07463-1835
Fax
—
Last updated
October 1, 2021

Mark E Vaccaro is a Physical Therapist based in Waldwick, NJ. Mark E Vaccaro practices in Waldwick, NJ and has the professional credentials of PT. The NPI Number for Mark E Vaccaro is 1780356360 and holds a License No. 40QA02039600 (NJ). The current practice location address for Mark E Vaccaro is 168 Franklin Tpke Ste 103B, Waldwick, NJ 07463-1835 and can be reached out via phone at 201-992-0171.

Provider Profile Details

NPI Number
1780356360
Provider Name
Mark E Vaccaro
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
168 Franklin Tpke Ste 103B, Waldwick, NJ 07463-1835
Phone Number
201-992-0171
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
October 1, 2021
Last Update Date
October 1, 2021
Certification Date
October 1, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
168 Franklin Tpke Ste 103B
Waldwick, NJ 07463-1835
Zip
07463-1835
Phone Number
201-992-0171
Waldwick, NJ 07463Get directions →

Provider Business Mailing Address Details

Address
576 Broadhollow RD
Melville, NY 11747-5002
City
Melville
State
NY
Zip
11747-5002
Phone Number
631-359-5859

License Information

License Number
40QA02039600
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 Mark E Vaccaro, PT?

The NPI number of Mark E Vaccaro, PT is 1780356360. It was assigned on October 1, 2021 and is currently active in the NPPES registry.

What is the specialty of Mark E Vaccaro, PT?

Mark E Vaccaro, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02039600.

Where does Mark E Vaccaro, PT practice?

The practice location is 168 Franklin Tpke Ste 103B, Waldwick, NJ 07463-1835. The office can be reached at 201-992-0171 (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 1780356360 directly on the NPPES registry website.

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