Active NPIIndividual providerSole proprietor

Michael Mirabueno, PT, DPT

Specialist in Carteret, New Jersey

NPI Number1962648170
Practice location
1175 Roosevelt Ave, Carteret, NJ 07008-1536
Fax
732-541-2237
Last updated
March 15, 2018

Michael Mirabueno is a Specialist based in Carteret, NJ. Michael Mirabueno practices in Carteret, NJ and has the professional credentials of PT, DPT. The NPI Number for Michael Mirabueno is 1962648170 and holds a License No. 40QA01300700 (NJ). The current practice location address for Michael Mirabueno is 1175 Roosevelt Ave, Carteret, NJ 07008-1536 and can be reached out via phone at 732-541-2233 and via fax at 732-541-2237.

Provider Profile Details

NPI Number
1962648170
Provider Name
Michael Mirabueno
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
1175 Roosevelt Ave, Carteret, NJ 07008-1536
Phone Number
732-541-2233
Fax Number
732-541-2237
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
December 18, 2008
Last Update Date
March 15, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1175 Roosevelt Ave
Carteret, NJ 07008-1536
Zip
07008-1536
Phone Number
732-541-2233
Fax Number
732-541-2237
Carteret, NJ 07008Get directions →

Provider Business Mailing Address Details

Address
1002 Main St
Fords, NJ 08863-1514
City
Fords
State
NJ
Zip
08863-1514
Phone Number
732-407-6308

License Information

License Number
40QA01300700
License State
NJ
Taxonomy
Specialist · 174400000X · 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 Michael Mirabueno, PT, DPT?

The NPI number of Michael Mirabueno, PT, DPT is 1962648170. It was assigned on December 18, 2008 and is currently active in the NPPES registry.

What is the specialty of Michael Mirabueno, PT, DPT?

Michael Mirabueno, PT, DPT is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 40QA01300700.

Where does Michael Mirabueno, PT, DPT practice?

The practice location is 1175 Roosevelt Ave, Carteret, NJ 07008-1536. The office can be reached at 732-541-2233 (phone) or 732-541-2237 (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 1962648170 directly on the NPPES registry website.

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