Michael Roufaeal, | |
219 Toner Rd, Boonton, NJ 07005-2325 | |
(973) 735-7848 | |
Not Available |
Full Name | Michael Roufaeal |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 219 Toner Rd, Boonton, 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 |
---|---|---|---|
1689146086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR00795600 (New Jersey) | Primary |
Provider Name | Excellent Homecare Of Nj Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427602549 PECOS PAC ID: 7214267400 Enrollment ID: O20191002000306 |
Mailing Address | Practice Location Address |
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Michael Roufaeal, 219 Toner Rd, Boonton, NJ 07005-2325 Ph: (973) 735-7848 | Michael Roufaeal, 219 Toner Rd, Boonton, NJ 07005-2325 Ph: (973) 735-7848 |
Michelle Therese Simmers, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 51 N Main St, Boonton, NJ 07005 Phone: 973-263-3000 | |
Stephanie Sclafani, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 51 N Main St, Boonton, NJ 07005 Phone: 973-794-3390 Fax: 973-794-3391 | |
Mrs. Jennifer Lynn Wagner, MSOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Deerlea Ln, Boonton, NJ 07005 Phone: 973-632-6487 | |
Mrs. Linda Jean Hogoboom, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Chestnut St, Boonton, NJ 07005 Phone: 845-893-6214 |