Dr. Jack Annunziato, DO
Physical Medicine & Rehabilitation in Ridgewood, New Jersey
1821478744- Practice location
- 1200 E Ridgewood Ave Ste 306, Ridgewood, NJ 07450-3937
- Phone
- 201-612-4857
- Fax
- —
- Last updated
- April 28, 2021
Jack Annunziato is a Physical Medicine & Rehabilitation based in Ridgewood, NJ. Jack Annunziato practices in Ridgewood, NJ and has the professional credentials of DO. The NPI Number for Jack Annunziato is 1821478744 and holds a License No. 25MB10536200 (NJ). The current practice location address for Jack Annunziato is 1200 E Ridgewood Ave Ste 306, Ridgewood, NJ 07450-3937 and can be reached out via phone at 201-612-4857.
Provider Profile Details
- NPI Number
- 1821478744
- Provider Name
- Jack Annunziato
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1200 E Ridgewood Ave Ste 306, Ridgewood, NJ 07450-3937
- Phone Number
- 201-612-4857
- Primary Taxonomy
- Physical Medicine & Rehabilitation · 208100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 5, 2015
- Last Update Date
- April 28, 2021
- Certification Date
- April 28, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1200 E Ridgewood Ave Ste 306
Ridgewood, NJ 07450-3937 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-3937
- Phone Number
- 201-612-4857
Provider Business Mailing Address Details
- Address
- 1200 E Ridgewood Ave Ste 306
Ridgewood, NJ 07450-3937 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-3937
- Phone Number
- 201-612-4857
License Information
- License Number (1)
- 25MB10536200
- License State (1)
- NJ
- Taxonomy (1)
- Neuromusculoskeletal Medicine & OMM · 204D00000X
- License Number (2)
- OT016359
- License State (2)
- PA
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 25MB10536200
- License State (3)
- NJ
- Taxonomy (3)
- Physical Medicine & Rehabilitation · 208100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Medicine & Rehabilitation providers near Ridgewood, NJ
View all Physical Medicine & Rehabilitation providers in Ridgewood →- Dr. Beena S Balakrishnan, MDPhysical Medicine & Rehabilitation · NPI 1417065061
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- Pain And Rehabilitation Medicine LLCPhysical Medicine & Rehabilitation · NPI 1417193285
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Frequently Asked Questions
What is the NPI number of Dr. Jack Annunziato, DO?
The NPI number of Dr. Jack Annunziato, DO is 1821478744. It was assigned on June 5, 2015 and is currently active in the NPPES registry.
What is the specialty of Dr. Jack Annunziato, DO?
Dr. Jack Annunziato, DO is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in NJ under license number 25MB10536200.
Where does Dr. Jack Annunziato, DO practice?
The practice location is 1200 E Ridgewood Ave Ste 306, Ridgewood, NJ 07450-3937. The office can be reached at 201-612-4857 (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 1821478744 directly on the NPPES registry website.