Dr. Jonathan Mickulik, DPT
Physical Therapist in Fairfield, New Jersey
1821340399- Practice location
- 461 US Highway 46, Fairfield, NJ 07004-1954
- Phone
- 570-606-5399
- Fax
- —
- Last updated
- May 18, 2021
Jonathan Mickulik is a Physical Therapist based in Fairfield, NJ. Jonathan Mickulik practices in Fairfield, NJ and has the professional credentials of DPT. The NPI Number for Jonathan Mickulik is 1821340399 and holds a License No. 40QA01463100 (NJ). The current practice location address for Jonathan Mickulik is 461 US Highway 46, Fairfield, NJ 07004-1954 and can be reached out via phone at 570-606-5399.
Provider Profile Details
- NPI Number
- 1821340399
- Provider Name
- Jonathan Mickulik
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 461 US Highway 46, Fairfield, NJ 07004-1954
- Phone Number
- 570-606-5399
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 9, 2012
- Last Update Date
- May 18, 2021
- Certification Date
- May 18, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 461 US Highway 46
Fairfield, NJ 07004-1954 - City
- Fairfield
- State
- New Jersey
- Zip
- 07004-1954
- Phone Number
- 570-606-5399
Provider Business Mailing Address Details
- Address
- 461 US Highway 46
Fairfield, NJ 07004-1954 - City
- Fairfield
- State
- NJ
- Zip
- 07004-1954
- Phone Number
- 570-606-5399
License Information
- License Number
- 40QA01463100
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jonathan Mickulik, DPT?
The NPI number of Dr. Jonathan Mickulik, DPT is 1821340399. It was assigned on October 9, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan Mickulik, DPT?
Dr. Jonathan Mickulik, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01463100.
Where does Dr. Jonathan Mickulik, DPT practice?
The practice location is 461 US Highway 46, Fairfield, NJ 07004-1954. The office can be reached at 570-606-5399 (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 1821340399 directly on the NPPES registry website.