Edwin R Fernandez Grullon
Occupational Therapy Assistant in Bayonne, New Jersey
1912469321- Practice location
- 47 Bayside Dr, Bayonne, NJ 07002-1278
- Phone
- 239-298-6665
- Fax
- —
- Last updated
- April 4, 2019
Edwin Rafael Fernandez Grullon is an Occupational Therapy Assistant based in Bayonne, NJ. Edwin Rafael Fernandez Grullon practices in Bayonne, NJ. The NPI Number for Edwin Rafael Fernandez Grullon is 1912469321 and holds a License No. 46TA09163500 (NJ). The current practice location address for Edwin Rafael Fernandez Grullon is 47 Bayside Dr, Bayonne, NJ 07002-1278 and can be reached out via phone at 239-298-6665.
Provider Profile Details
- NPI Number
- 1912469321
- Provider Name
- Edwin Rafael Fernandez Grullon
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 47 Bayside Dr, Bayonne, NJ 07002-1278
- Phone Number
- 239-298-6665
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 3, 2019
- Last Update Date
- April 4, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 47 Bayside Dr
Bayonne, NJ 07002-1278 - City
- Bayonne
- State
- New Jersey
- Zip
- 07002-1278
- Phone Number
- 239-298-6665
Provider Business Mailing Address Details
- Address
- 47 Bayside Dr
Bayonne, NJ 07002-1278 - City
- Bayonne
- State
- NJ
- Zip
- 07002-1278
- Phone Number
- 239-298-6665
License Information
- License Number
- 46TA09163500
- License State
- NJ
- Taxonomy
- Occupational Therapy Assistant · 224Z00000X · 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 Edwin R Fernandez Grullon?
The NPI number of Edwin R Fernandez Grullon is 1912469321. It was assigned on April 3, 2019 and is currently active in the NPPES registry.
What is the specialty of Edwin R Fernandez Grullon?
Edwin R Fernandez Grullon is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09163500.
Where does Edwin R Fernandez Grullon practice?
The practice location is 47 Bayside Dr, Bayonne, NJ 07002-1278. The office can be reached at 239-298-6665 (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 1912469321 directly on the NPPES registry website.