Active NPIIndividual providerSole proprietor

Dr. Shivaz Rose, DPT

Physical Therapist in Ridgewood, New Jersey

NPI Number1861037269
Practice location
153 Prospect St, Ridgewood, NJ 07450-4405
Fax
—
Last updated
November 10, 2019

Shivaz Rose is a Physical Therapist based in Ridgewood, NJ. Shivaz Rose practices in Ridgewood, NJ and has the professional credentials of DPT. The NPI Number for Shivaz Rose is 1861037269. The current practice location address for Shivaz Rose is 153 Prospect St, Ridgewood, NJ 07450-4405 and can be reached out via phone at 201-819-4005.

Provider Profile Details

NPI Number
1861037269
Provider Name
Shivaz Rose
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
153 Prospect St, Ridgewood, NJ 07450-4405
Phone Number
201-819-4005
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
November 10, 2019
Last Update Date
November 10, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
153 Prospect St
Ridgewood, NJ 07450-4405
Zip
07450-4405
Phone Number
201-819-4005
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
153 Prospect St
Ridgewood, NJ 07450-4405
City
Ridgewood
State
NJ
Zip
07450-4405

License Information

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 Dr. Shivaz Rose, DPT?

The NPI number of Dr. Shivaz Rose, DPT is 1861037269. It was assigned on November 10, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Shivaz Rose, DPT?

Dr. Shivaz Rose, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X).

Where does Dr. Shivaz Rose, DPT practice?

The practice location is 153 Prospect St, Ridgewood, NJ 07450-4405. The office can be reached at 201-819-4005 (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 1861037269 directly on the NPPES registry website.

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