Omar Wilson
Physical Therapy Assistant in Lyndhurst, New Jersey
1871281089- Practice location
- 70 Ridge RD, Lyndhurst, NJ 07071-1216
- Phone
- 201-992-0183
- Fax
- 201-984-4429
- Last updated
- April 26, 2023
Omar Wilson is a Physical Therapy Assistant based in Lyndhurst, NJ. Omar Wilson practices in Lyndhurst, NJ. The NPI Number for Omar Wilson is 1871281089 and holds a License No. 40QB00280300 (NJ). The current practice location address for Omar Wilson is 70 Ridge RD, Lyndhurst, NJ 07071-1216 and can be reached out via phone at 201-992-0183 and via fax at 201-984-4429.
Provider Profile Details
- NPI Number
- 1871281089
- Provider Name
- Omar Wilson
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 70 Ridge RD, Lyndhurst, NJ 07071-1216
- Phone Number
- 201-992-0183
- Fax Number
- 201-984-4429
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 26, 2023
- Last Update Date
- April 26, 2023
- Certification Date
- April 26, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 70 Ridge RD
Lyndhurst, NJ 07071-1216 - City
- Lyndhurst
- State
- New Jersey
- Zip
- 07071-1216
- Phone Number
- 201-992-0183
- Fax Number
- 201-984-4429
Provider Business Mailing Address Details
- Address
- 576 Broadhollow RD
Melville, NY 11747-5002 - City
- Melville
- State
- NY
- Zip
- 11747-5002
- Phone Number
- 631-359-5800
License Information
- License Number
- 40QB00280300
- License State
- NJ
- Taxonomy
- Physical Therapy Assistant · 225200000X · 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 Omar Wilson?
The NPI number of Omar Wilson is 1871281089. It was assigned on April 26, 2023 and is currently active in the NPPES registry.
What is the specialty of Omar Wilson?
Omar Wilson is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00280300.
Where does Omar Wilson practice?
The practice location is 70 Ridge RD, Lyndhurst, NJ 07071-1216. The office can be reached at 201-992-0183 (phone) or 201-984-4429 (fax).
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 1871281089 directly on the NPPES registry website.