| Mr Justin Fauder, | |
|
118 Outwater Ln, Garfield, NJ 07026-2629 | |
| (973) 955-2190 | |
| Not Available |
| Full Name | Mr Justin Fauder |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 118 Outwater Ln, Garfield, 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 |
|---|---|---|---|
| 1184476947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR01152800 (New Jersey) | Primary |
| Provider Name | Theraphysical Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134463235 PECOS PAC ID: 4981856341 Enrollment ID: O20121211000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin Fauder, 270 Stevens Ave # 1, Jersey City, NJ 07305-1314 Ph: (551) 655-5535 | Mr Justin Fauder, 118 Outwater Ln, Garfield, NJ 07026-2629 Ph: (973) 955-2190 |
Shaista Tahir, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 414 Macarthur Ave, Garfield, NJ 07026 Phone: 201-575-2371 | |
Natalie Schmitt, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Somerset St, Garfield, NJ 07026 Phone: 201-688-3336 | |
Homestay P.c. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 103 Somerset St, Garfield, NJ 07026 Phone: 646-645-0582 | |
Nicole Yannette, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 357 Semel Ave Apt 2, Garfield, NJ 07026 Phone: 201-414-4498 | |
Mr. Simon Levin, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Somerset St, Garfield, NJ 07026 Phone: 646-645-0582 | |
Morgan Claudia Tully, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 118 Outwater Ln, Garfield, NJ 07026 Phone: 219-097-3955 |