Active NPIIndividual providerSole proprietor

Sean Fackovec

Physical Therapist in Westfield, New Jersey

NPI Number1982489605
Practice location
105 Elm St, Westfield, NJ 07090-3143
Fax
908-264-7596
Last updated
August 30, 2023

Sean Fackovec is a Physical Therapist based in Westfield, NJ. Sean Fackovec practices in Westfield, NJ. The NPI Number for Sean Fackovec is 1982489605 and holds a License No. 40QA02188600 (NJ). The current practice location address for Sean Fackovec is 105 Elm St, Westfield, NJ 07090-3143 and can be reached out via phone at 908-264-7503 and via fax at 908-264-7596.

Provider Profile Details

NPI Number
1982489605
Provider Name
Sean Fackovec
Provider Entity Type
Individual
Gender
Male
Address
105 Elm St, Westfield, NJ 07090-3143
Phone Number
908-264-7503
Fax Number
908-264-7596
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 30, 2023
Last Update Date
August 30, 2023
Certification Date
August 30, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Elm St
Westfield, NJ 07090-3143
Zip
07090-3143
Phone Number
908-264-7503
Fax Number
908-264-7596
Westfield, NJ 07090Get directions →

Provider Business Mailing Address Details

Address
576 Broadhollow RD
Melville, NY 11747-5002
City
Melville
State
NY
Zip
11747-5002
Phone Number
631-359-5859

License Information

License Number
40QA02188600
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 Sean Fackovec?

The NPI number of Sean Fackovec is 1982489605. It was assigned on August 30, 2023 and is currently active in the NPPES registry.

What is the specialty of Sean Fackovec?

Sean Fackovec is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02188600.

Where does Sean Fackovec practice?

The practice location is 105 Elm St, Westfield, NJ 07090-3143. The office can be reached at 908-264-7503 (phone) or 908-264-7596 (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 1982489605 directly on the NPPES registry website.

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