Mr Jose Mendiola, PT | |
150 Flanagan Way, Secaucus, NJ 07094-3445 | |
(732) 819-0725 | |
Not Available |
Full Name | Mr Jose Mendiola |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 150 Flanagan Way, Secaucus, 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 |
---|---|---|---|
1396833281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA00377800 (New Jersey) | Primary |
Provider Name | Qualcare Therapy Center Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1184621484 PECOS PAC ID: 6406764943 Enrollment ID: O20230411001716 |
Mailing Address | Practice Location Address |
---|---|
Mr Jose Mendiola, PT 150 Flanagan Way, Secaucus, NJ 07094-3445 Ph: (732) 819-0725 | Mr Jose Mendiola, PT 150 Flanagan Way, Secaucus, NJ 07094-3445 Ph: (732) 819-0725 |
Mr. Emmanuel Marcos Ramos, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 State Rt 153, Secaucus, NJ 07094 Phone: 201-319-0010 Fax: 201-319-8994 | |
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