Mr. Serg Mari S Entise, BSPT
Physical Therapist in East Newark, New Jersey
1811107733- Practice location
- 400 Passaic Ave, Apt 112, East Newark, NJ 07029-2852
- Phone
- 201-575-0070
- Fax
- —
- Last updated
- April 23, 2019
Serg Mari Sanchez Entise is a Physical Therapist based in East Newark, NJ. Serg Mari Sanchez Entise practices in East Newark, NJ and has the professional credentials of BSPT. The NPI Number for Serg Mari Sanchez Entise is 1811107733 and holds a License No. 40QA00994400 (NJ). The current practice location address for Serg Mari Sanchez Entise is 400 Passaic Ave, Apt 112, East Newark, NJ 07029-2852 and can be reached out via phone at 201-575-0070.
Provider Profile Details
- NPI Number
- 1811107733
- Provider Name
- Serg Mari Sanchez Entise
- Credential
- BSPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 400 Passaic Ave, Apt 112, East Newark, NJ 07029-2852
- Phone Number
- 201-575-0070
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 22, 2007
- Last Update Date
- April 23, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Passaic Ave
Apt 112
East Newark, NJ 07029-2852 - City
- East Newark
- State
- New Jersey
- Zip
- 07029-2852
- Phone Number
- 201-575-0070
Provider Business Mailing Address Details
- Address
- 56 Broad St Apt 406
Bloomfield, NJ 07003-2373 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-2373
- Phone Number
- 201-575-0070
License Information
- License Number
- 40QA00994400
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near East Newark, NJ
View all Physical Therapists in East Newark →Frequently Asked Questions
What is the NPI number of Mr. Serg Mari S Entise, BSPT?
The NPI number of Mr. Serg Mari S Entise, BSPT is 1811107733. It was assigned on May 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Serg Mari S Entise, BSPT?
Mr. Serg Mari S Entise, BSPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00994400.
Where does Mr. Serg Mari S Entise, BSPT practice?
The practice location is 400 Passaic Ave, Apt 112, East Newark, NJ 07029-2852. The office can be reached at 201-575-0070 (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 1811107733 directly on the NPPES registry website.