1629211339 NPI number — LAWRENCE KERWIN A. UMALI PHYSICAL THERAPIST

Table of content: JANICE HLEDIK (NPI 1205634995)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629211339 NPI number — LAWRENCE KERWIN A. UMALI PHYSICAL THERAPIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
UMALI
Provider First Name:
LAWRENCE
Provider Middle Name:
KERWIN A.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHYSICAL THERAPIST
Provider Gender Code:
M

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:
1629211339
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/10/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
901 NORTH WOOD AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINDEN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07036
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-474-9444
Provider Business Mailing Address Fax Number:
908-620-3744

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
901 N WOOD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINDEN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07036-4039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-474-9444
Provider Business Practice Location Address Fax Number:
908-620-3744
Provider Enumeration Date:
04/10/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  40QA01307300 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 40QA01307300 . This is a "PHYSICAL THERAPIST LICENSE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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