Mr Jason Thomas Fogu, PHYSICAL THERAPIST | |
21 -29 West 25th Street, Bayonne, NJ 07002-7300 | |
(201) 339-4160 | |
(201) 339-4592 |
Full Name | Mr Jason Thomas Fogu |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 21 -29 West 25th Street, 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 |
---|---|---|---|
1538243670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA00679700 (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 |
---|---|
Mr Jason Thomas Fogu, PHYSICAL THERAPIST 11 Humphrey Ave, Bayonne, NJ 07002-7300 Ph: (201) 240-4587 | Mr Jason Thomas Fogu, PHYSICAL THERAPIST 21 -29 West 25th Street, Bayonne, NJ 07002-7300 Ph: (201) 339-4160 |
Revitalyz Wellness Center, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1222 John F. Kennedy Blvd, Bayonne, NJ 07002 Phone: 201-932-0197 | |
Opt Rehab Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 866 Broadway Ste A, Bayonne, NJ 07002 Phone: 201-600-9488 | |
Magdolin Mishel Samy Saad Shenouda, PT, DPT, PH.D. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 317 Avenue C, Bayonne, NJ 07002 Phone: 201-380-6385 | |
Chitra Kanani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 665 Broadway, Bayonne, NJ 07002 Phone: 201-875-6691 Fax: 201-455-6691 | |
Roman Kupinski, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 W 42nd St, Bayonne, NJ 07002 Phone: 201-243-6662 Fax: 732-855-9755 | |
Drashti Pandya, Physical Therapist Medicare: Medicare Enrolled Practice Location: 864 Broadway, Bayonne, NJ 07002 Phone: 732-593-9295 | |
Sunita Vijaykumar Nair, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 W 25th St, Bayonne, NJ 07002 Phone: 201-437-0013 |