Mr Cesar Valente Garduque Jr, OTR | |
54 Polifly Rd Apt 311, Hackensack, NJ 07601-3295 | |
(646) 206-1025 | |
(201) 880-0614 |
Full Name | Mr Cesar Valente Garduque Jr |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 27 Years |
Location | 54 Polifly Rd Apt 311, Hackensack, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104060268 | NPI | - | NPPES |
46TR00447800 | Other | NJ | NJ STATE LICENSE |
013016 | Other | NY | NYSED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 013016 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Link Home Services Of Nj Llc | 9133551765 | 44 |
Provider Name | Homeside Rehab Pt Ot Slp Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023258431 PECOS PAC ID: 7810045309 Enrollment ID: O20150506000300 |
Provider Name | Link Home Services Of Nj Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972072585 PECOS PAC ID: 9133551765 Enrollment ID: O20191119002707 |
Provider Name | At Home By Enhance Therapies Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124603246 PECOS PAC ID: 4183033210 Enrollment ID: O20210503001929 |
Mailing Address | Practice Location Address |
---|---|
Mr Cesar Valente Garduque Jr, OTR 54 Polifly Rd Apt 311, Hackensack, NJ 07601-3295 Ph: (646) 206-1025 | Mr Cesar Valente Garduque Jr, OTR 54 Polifly Rd Apt 311, Hackensack, NJ 07601-3295 Ph: (646) 206-1025 |
Douglas Tyler Fabrizio, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 40 Zabriskie St Apt 3j, Hackensack, NJ 07601 Phone: 201-394-2379 | |
Ms. Sara Silverstein, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5516 | |
Ms. Shilpa Santosh Dewoolkar, OTRL CHT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 155 Polifly Rd, Suite 104, Hackensack, NJ 07601 Phone: 201-343-3644 Fax: 201-343-1770 | |
Mrs. Sally P Gillenson, MBA MS OTR CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 385 Prospect Ave, Hackensack, NJ 07601 Phone: 201-343-5470 Fax: 201-343-5931 | |
Jung Hee Kim, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 260 Prospect Ave, 366, Hackensack, NJ 07601 Phone: 973-747-8423 | |
Sharbel Boustani, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 411 Hackensack Ave, Hackensack, NJ 07601 Phone: 732-802-7512 |