Active NPIIndividual providerSole proprietor

Mr. Jericho Gevera, PT

Physical Therapist in Park Ridge, New Jersey

NPI Number1982080198
Practice location
120 Noyes Dr, Atrium Post Acute Care Of Park Ridge -Rehab Dept, Park Ridge, NJ 07656-1294
Fax
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Last updated
August 11, 2015

Jericho Gevera is a Physical Therapist based in Park Ridge, NJ. Jericho Gevera practices in Park Ridge, NJ and has the professional credentials of PT. The NPI Number for Jericho Gevera is 1982080198 and holds a License No. 40QA00729600 (NJ). The current practice location address for Jericho Gevera is 120 Noyes Dr, Atrium Post Acute Care Of Park Ridge -Rehab Dept, Park Ridge, NJ 07656-1294 and can be reached out via phone at 201-505-1777.

Provider Profile Details

NPI Number
1982080198
Provider Name
Jericho Gevera
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
120 Noyes Dr, Atrium Post Acute Care Of Park Ridge -Rehab Dept, Park Ridge, NJ 07656-1294
Phone Number
201-505-1777
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 11, 2015
Last Update Date
August 11, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Noyes Dr
Atrium Post Acute Care Of Park Ridge -Rehab Dept
Park Ridge, NJ 07656-1294
Zip
07656-1294
Phone Number
201-505-1777
Park Ridge, NJ 07656Get directions →

Provider Business Mailing Address Details

Address
278 E Clinton Ave
Bergenfield, NJ 07621-3203
City
Bergenfield
State
NJ
Zip
07621-3203

License Information

License Number
40QA00729600
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 Mr. Jericho Gevera, PT?

The NPI number of Mr. Jericho Gevera, PT is 1982080198. It was assigned on August 11, 2015 and is currently active in the NPPES registry.

What is the specialty of Mr. Jericho Gevera, PT?

Mr. Jericho Gevera, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00729600.

Where does Mr. Jericho Gevera, PT practice?

The practice location is 120 Noyes Dr, Atrium Post Acute Care Of Park Ridge -Rehab Dept, Park Ridge, NJ 07656-1294. The office can be reached at 201-505-1777 (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 1982080198 directly on the NPPES registry website.

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