Provider Demographics
NPI:1558485169
Name:HESS, ANDREW C (PT)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:C
Last Name:HESS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2501
Mailing Address - Country:US
Mailing Address - Phone:973-580-0685
Mailing Address - Fax:973-329-0101
Practice Address - Street 1:115 US HIGHWAY 46 STE B11
Practice Address - Street 2:
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1656
Practice Address - Country:US
Practice Address - Phone:973-329-0099
Practice Address - Fax:973-329-0101
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00337800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHE563560Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER