| Mr Clarvin Alfonso Ombajin, PT | |
|
19-21 Fair Lawn Ave, Fair Lawn, NJ 07410-2331 | |
| (201) 796-7772 | |
| (201) 794-8818 |
| Full Name | Mr Clarvin Alfonso Ombajin |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 19-21 Fair Lawn Ave, Fair Lawn, 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 |
|---|---|---|---|
| 1568595395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA00995000 (New Jersey) | Primary |
| Provider Name | Family Choice Physical Therapy Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508125840 PECOS PAC ID: 1456517622 Enrollment ID: O20120717000308 |
| Provider Name | Premier Choice Physical Therapy, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063069763 PECOS PAC ID: 1557798584 Enrollment ID: O20200303001763 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Clarvin Alfonso Ombajin, PT 15 Dapp Ct, Elmwood Park, NJ 07407-3301 Ph: (201) 281-5790 | Mr Clarvin Alfonso Ombajin, PT 19-21 Fair Lawn Ave, Fair Lawn, NJ 07410-2331 Ph: (201) 796-7772 |
Eric Canonaco, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17-17 Route 208 Ste 116, Fair Lawn, NJ 07410 Phone: 201-291-0750 Fax: 201-291-0753 | |
Gregory John Dahl, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24-17 Fair Lawn Ave, Fair Lawn, NJ 07410 Phone: 201-794-4417 Fax: 201-794-4419 | |
Mr. Michael Christopher Sciacca, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33-00 Broadway, Fair Lawn, NJ 07410 Phone: 201-703-8820 | |
Omar M Abuharthieh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23-00 Route 208, Fair Lawn, NJ 07410 Phone: 201-509-8205 | |
Yakov Gendler, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 7-04 Elaine Ter, Fair Lawn, NJ 07410 Phone: 347-409-5754 | |
Garrett Rumsby, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2-22 Banta Pl, Fair Lawn, NJ 07410 Phone: 877-532-7837 | |
Holsman Physical And Occupational Therapy, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15-01 Broadway Ste 12, Fair Lawn, NJ 07410 Phone: 201-355-5199 Fax: 732-428-5513 |