Active NPIIndividual providerSole proprietor

Renata Fernandez

Physical Therapy Assistant in Long Valley, New Jersey

NPI Number1922695360
Practice location
27 Jackie Dr, Long Valley, NJ 07853-3540
Fax
—
Last updated
December 30, 2020

Renata Fernandez is a Physical Therapy Assistant based in Long Valley, NJ. Renata Fernandez practices in Long Valley, NJ. The NPI Number for Renata Fernandez is 1922695360 and holds a License No. 40QB00324500 (NJ). The current practice location address for Renata Fernandez is 27 Jackie Dr, Long Valley, NJ 07853-3540 and can be reached out via phone at 908-966-3365.

Provider Profile Details

NPI Number
1922695360
Provider Name
Renata Fernandez
Provider Entity Type
Individual
Gender
Male
Address
27 Jackie Dr, Long Valley, NJ 07853-3540
Phone Number
908-966-3365
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
December 30, 2020
Last Update Date
December 30, 2020
Certification Date
December 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
27 Jackie Dr
Long Valley, NJ 07853-3540
Zip
07853-3540
Phone Number
908-966-3365
Long Valley, NJ 07853Get directions →

Provider Business Mailing Address Details

Address
27 Jackie Dr
Long Valley, NJ 07853-3540
City
Long Valley
State
NJ
Zip
07853-3540
Phone Number
908-966-3365

License Information

License Number
40QB00324500
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 Renata Fernandez?

The NPI number of Renata Fernandez is 1922695360. It was assigned on December 30, 2020 and is currently active in the NPPES registry.

What is the specialty of Renata Fernandez?

Renata Fernandez is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00324500.

Where does Renata Fernandez practice?

The practice location is 27 Jackie Dr, Long Valley, NJ 07853-3540. The office can be reached at 908-966-3365 (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 1922695360 directly on the NPPES registry website.

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