Mr Sofoluwe O Songonuga, PT | |
525 Patricia Ct, South Orange, NJ 07079-2701 | |
(201) 407-7965 | |
(973) 313-9041 |
Full Name | Mr Sofoluwe O Songonuga |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 525 Patricia Ct, South 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 |
---|---|---|---|
1619017571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 015381 (New York) | Primary |
Provider Name | Activa Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366796039 PECOS PAC ID: 2466693163 Enrollment ID: O20130723000272 |
Provider Name | Stern At Home Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1720563380 PECOS PAC ID: 6002152147 Enrollment ID: O20190905002382 |
Mailing Address | Practice Location Address |
---|---|
Mr Sofoluwe O Songonuga, PT 525 Patricia Ct, South Orange, NJ 07079-2701 Ph: (201) 407-7965 | Mr Sofoluwe O Songonuga, PT 525 Patricia Ct, South Orange, NJ 07079-2701 Ph: (201) 407-7965 |
Dr. Christopher Debellis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 20 Valley St, South Orange, NJ 07079 Phone: 973-763-0447 | |
Dr. Michael Holder, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 Stanley Rd, South Orange, NJ 07079 Phone: 917-524-8052 | |
Jennifer Lau, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 316 Academy St, South Orange, NJ 07079 Phone: 917-553-3941 | |
Gianna Morreale, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 177 Valley St, South Orange, NJ 07079 Phone: 973-761-0077 | |
Dante S Searcy, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 320 Valley St, South Orange, NJ 07079 Phone: 973-761-3020 | |
Mr. Gabriel David Scher, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 S Orange Ave, South Orange, NJ 07079 Phone: 718-781-1783 | |
Dr. Daniel Adam Roig, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 177 Valley St, South Orange, NJ 07079 Phone: 973-761-0077 Fax: 973-761-0024 |