Provider Demographics
NPI:1083746598
Name:HEDAYA, ALINA (PT, DPT, OCS, MDT)
Entity Type:Individual
Prefix:DR
First Name:ALINA
Middle Name:
Last Name:HEDAYA
Suffix:
Gender:F
Credentials:PT, DPT, OCS, MDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 STUYVESANT AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6023
Mailing Address - Country:US
Mailing Address - Phone:908-851-0800
Mailing Address - Fax:
Practice Address - Street 1:1036 STUYVESANT AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6023
Practice Address - Country:US
Practice Address - Phone:908-851-0800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023632225100000X
NJ40QA013708002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY023632OtherLICENSE NUMBER
NJ40QA01370800OtherLICENSE NUMBER