| Noah Morgan Develez, | |
|
9 Church St, Vernon, NJ 07462-3138 | |
| (862) 418-4725 | |
| (862) 260-8061 |
| Full Name | Noah Morgan Develez |
|---|---|
| Gender | Facility |
| Speciality | Physical Therapist |
| Location | 9 Church St, Vernon, 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 |
|---|---|---|---|
| 1568254878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02335600 (New Jersey) | Primary |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174577274 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Noah Morgan Develez, 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Noah Morgan Develez, 9 Church St, Vernon, NJ 07462-3138 Ph: (862) 418-4725 |
Sarina Lavooy, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 212 Route 94, Ste 2f, Vernon, NJ 07462 Phone: 973-209-0086 | |
Mrs. Diane Platz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 418 State Rt 515, Vernon, NJ 07462 Phone: 973-764-6136 Fax: 973-764-4515 | |
Mr. Elmer R Platz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 418 State Rt 515, Vernon, NJ 07462 Phone: 973-764-6136 Fax: 973-764-4515 | |
Matthew Meluso, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 State Rt 94, Vernon, NJ 07462 Phone: 973-209-0086 | |
Kori Jean Postma, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 State Rt 94, 2f, Vernon, NJ 07462 Phone: 973-209-0086 | |
Edward Sandgran, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 State Route 94, Suite 2f, Vernon, NJ 07462 Phone: 973-209-0086 Fax: 973-209-8642 | |
Jenna Marie Tambasco, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 212 State Rt 94 Unit 2g2h, Vernon, NJ 07462 Phone: 973-209-0086 |