| Jack Edward Croken, OTR/L | |
|
250 River St, Hackensack, NJ 07601-7514 | |
| (201) 992-0178 | |
| Not Available |
| Full Name | Jack Edward Croken |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 250 River St, Hackensack, 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 |
|---|---|---|---|
| 1881394492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR01110900 (New Jersey) | Primary |
| Provider Name | Monmouth Pain And Rehabilitation Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073699385 PECOS PAC ID: 1557460714 Enrollment ID: O20080501000050 |
| Provider Name | Professional Occupational & Physical Therapy, Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1215487772 PECOS PAC ID: 3779873401 Enrollment ID: O20170118000654 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Edward Croken, OTR/L 148 Priscilla Dr, Lincroft, NJ 07738-1242 Ph: (732) 757-6056 | Jack Edward Croken, OTR/L 250 River St, Hackensack, NJ 07601-7514 Ph: (201) 992-0178 |
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: Not Enrolled in Medicare 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 | |
Mr. Cesar Valente Garduque Jr., OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 54 Polifly Rd Apt 311, Hackensack, NJ 07601 Phone: 646-206-1025 Fax: 201-880-0614 | |
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 |