Active NPIIndividual providerSole proprietor

Yev Fedosenko, DPT

Physical Therapist in Cliffside Park, New Jersey

NPI Number1922290535
Practice location
200 Winston Dr Apt 119, Cliffside Park, NJ 07010-3209
Fax
—
Last updated
March 18, 2026

Yev Fedosenko is a Physical Therapist based in Cliffside Park, NJ. Yev Fedosenko practices in Cliffside Park, NJ and has the professional credentials of DPT. The NPI Number for Yev Fedosenko is 1922290535 and holds a License No. 40QA01242600 (NJ). The current practice location address for Yev Fedosenko is 200 Winston Dr Apt 119, Cliffside Park, NJ 07010-3209 and can be reached out via phone at 617-620-2137.

Provider Profile Details

NPI Number
1922290535
Provider Name
Yev Fedosenko
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
200 Winston Dr Apt 119, Cliffside Park, NJ 07010-3209
Phone Number
617-620-2137
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 16, 2007
Last Update Date
March 18, 2026
Certification Date
March 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Winston Dr Apt 119
Cliffside Park, NJ 07010-3209
Zip
07010-3209
Phone Number
617-620-2137
Cliffside Park, NJ 07010Get directions →

Provider Business Mailing Address Details

Address
200 Winston Dr Apt 119
Cliffside Park, NJ 07010-3209
City
Cliffside Park
State
NJ
Zip
07010-3209
Phone Number
617-620-2137

License Information

License Number
40QA01242600
License State
NJ
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 Yev Fedosenko, DPT?

The NPI number of Yev Fedosenko, DPT is 1922290535. It was assigned on August 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Yev Fedosenko, DPT?

Yev Fedosenko, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01242600.

Where does Yev Fedosenko, DPT practice?

The practice location is 200 Winston Dr Apt 119, Cliffside Park, NJ 07010-3209. The office can be reached at 617-620-2137 (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 1922290535 directly on the NPPES registry website.

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