Jennifer Beredo, PT | |
564 Broadway Ste 2a, Bayonne, NJ 07002-3825 | |
(201) 339-8889 | |
Not Available |
Full Name | Jennifer Beredo |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 564 Broadway Ste 2a, Bayonne, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467536219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | RPT40QA01057900 (New Jersey) | Primary |
Entity Name | Beredo Physical Therapy And Wellness, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457780421 PECOS PAC ID: 7416184288 Enrollment ID: O20131227000012 |
Entity Name | Mobile Therapy Services Inc |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1326495615 PECOS PAC ID: 6305130840 Enrollment ID: O20160808000021 |
Mailing Address | Practice Location Address |
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Jennifer Beredo, PT 564 Broadway Ste 2a, Bayonne, NJ 07002-3825 Ph: (201) 339-8889 | Jennifer Beredo, PT 564 Broadway Ste 2a, Bayonne, NJ 07002-3825 Ph: (201) 339-8889 |
Yasmeen Chaudhary, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 398 Avenue E, Bayonne, NJ 07002 Phone: 201-455-2250 | |
Nancy Amen, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 19 E 27th St, Bayonne, NJ 07002 Phone: 201-436-0033 Fax: 201-436-0079 |