1063517944 NPI number — MORRIS PARK PHYSICAL THERAPY SERVICES PC

Table of content: WILLIAM ART TOY PHARM.D (NPI 1881935591)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063517944 NPI number — MORRIS PARK PHYSICAL THERAPY SERVICES PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MORRIS PARK PHYSICAL THERAPY SERVICES PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063517944
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/24/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
390 JAMES WOODS CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW MILFORD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07646-1463
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-261-0905
Provider Business Mailing Address Fax Number:
201-483-8554

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1215 STRATFORD AVE
Provider Second Line Business Practice Location Address:
SUITE 13
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10472-2501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-618-0268
Provider Business Practice Location Address Fax Number:
718-618-0269
Provider Enumeration Date:
09/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LIGSAY
Authorized Official First Name:
RICARTE
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
718-618-0268

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  011877 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02459589 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com