Active NPIIndividual provider

Jorge M Quispe Sandoval

Physical Therapy Assistant in Clifton, New Jersey

NPI Number1861304545
Practice location
1135 Broad St, Clifton, NJ 07013-3346
Fax
—
Last updated
September 18, 2026

Jorge Manuel Quispe Sandoval is a Physical Therapy Assistant based in Clifton, NJ. Jorge Manuel Quispe Sandoval practices in Clifton, NJ. The NPI Number for Jorge Manuel Quispe Sandoval is 1861304545 and holds a License No. 40QB00434300 (NJ). The current practice location address for Jorge Manuel Quispe Sandoval is 1135 Broad St, Clifton, NJ 07013-3346 and can be reached out via phone at 973-574-8585.

Provider Profile Details

NPI Number
1861304545
Provider Name
Jorge Manuel Quispe Sandoval
Provider Entity Type
Individual
Gender
Male
Address
1135 Broad St, Clifton, NJ 07013-3346
Phone Number
973-574-8585
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
September 18, 2026
Last Update Date
September 18, 2026
Certification Date
September 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1135 Broad St
Clifton, NJ 07013-3346
Zip
07013-3346
Phone Number
973-574-8585
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
141 Old Short Hills RD Apt 15
West Orange, NJ 07052-1066
City
West Orange
State
NJ
Zip
07052-1066
Phone Number
973-513-2658

License Information

License Number
40QB00434300
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Jorge M Quispe Sandoval?

The NPI number of Jorge M Quispe Sandoval is 1861304545. It was assigned on September 18, 2026 and is currently active in the NPPES registry.

What is the specialty of Jorge M Quispe Sandoval?

Jorge M Quispe Sandoval is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00434300.

Where does Jorge M Quispe Sandoval practice?

The practice location is 1135 Broad St, Clifton, NJ 07013-3346. The office can be reached at 973-574-8585 (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 1861304545 directly on the NPPES registry website.

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