| Jeanine-marie Gervasio, PT | |
|
623 Eagle Rock Ave, West Orange, NJ 07052-2948 | |
| (201) 455-3144 | |
| Not Available |
| Full Name | Jeanine-marie Gervasio |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Pediatrics |
| Location | 623 Eagle Rock Ave, West Orange, 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 |
|---|---|---|---|
| 1134884950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | PT40QA00692900 (New Jersey) | Primary |
| Provider Name | Elc Rehabilitation |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1497264337 PECOS PAC ID: 1951668557 Enrollment ID: O20171207001121 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanine-marie Gervasio, PT 9 Albert Ave, Morristown, NJ 07960-6506 Ph: (973) 207-1009 | Jeanine-marie Gervasio, PT 623 Eagle Rock Ave, West Orange, NJ 07052-2948 Ph: (201) 455-3144 |
Elizabeth Caputo, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-243-6940 Fax: 973-243-6967 | |
David Currie King, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6842 | |
Dr. Sandra Wojciehowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Raphael Moreno, Physical Therapist Medicare: Medicare Enrolled Practice Location: 622 Eagle Rock Ave, West Orange, NJ 07052 Phone: 973-669-0078 | |
Jaceline D Dejean, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 445 Pleasant Valley Way, West Orange, NJ 07052 Phone: 862-520-4027 | |
Abigail Reid, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6967 | |
Ms. Leslie Prendergast, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Manger Rd, West Orange, NJ 07052 Phone: 973-736-7121 |