Provider Demographics
NPI:1578843850
Name:HOEFS, JILL DANA (MPT)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:DANA
Last Name:HOEFS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974-1503
Mailing Address - Country:US
Mailing Address - Phone:646-328-2525
Mailing Address - Fax:646-478-9155
Practice Address - Street 1:1310 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974-1503
Practice Address - Country:US
Practice Address - Phone:646-328-2525
Practice Address - Fax:646-478-9155
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0QA01420900225100000X
NY024115225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist