Active NPIIndividual provider

Mrs. Maritza V Jaque, PT

Physical Therapist in Holmdel, New Jersey

NPI Number1790909794
Practice location
727 N Beers St, Holmdel, NJ 07733-1514
Fax
732-888-7346
Last updated
July 8, 2007

Maritza Victoria Jaque is a Physical Therapist based in Holmdel, NJ. Maritza Victoria Jaque practices in Holmdel, NJ and has the professional credentials of PT. The NPI Number for Maritza Victoria Jaque is 1790909794 and holds a License No. 40QA00562400 (NJ). The current practice location address for Maritza Victoria Jaque is 727 N Beers St, Holmdel, NJ 07733-1514 and can be reached out via phone at 732-739-5955 and via fax at 732-888-7346.

Provider Profile Details

NPI Number
1790909794
Provider Name
Maritza Victoria Jaque
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
727 N Beers St, Holmdel, NJ 07733-1514
Phone Number
732-739-5955
Fax Number
732-888-7346
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
727 N Beers St
Holmdel, NJ 07733-1514
Zip
07733-1514
Phone Number
732-739-5955
Fax Number
732-888-7346
Holmdel, NJ 07733Get directions →

Provider Business Mailing Address Details

Address
93 William St
Kearny, NJ 07032-1662
City
Kearny
State
NJ
Zip
07032-1662
Phone Number
201-246-9762

License Information

License Number
40QA00562400
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 Mrs. Maritza V Jaque, PT?

The NPI number of Mrs. Maritza V Jaque, PT is 1790909794. It was assigned on April 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Maritza V Jaque, PT?

Mrs. Maritza V Jaque, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00562400.

Where does Mrs. Maritza V Jaque, PT practice?

The practice location is 727 N Beers St, Holmdel, NJ 07733-1514. The office can be reached at 732-739-5955 (phone) or 732-888-7346 (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 1790909794 directly on the NPPES registry website.

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