Provider Demographics
NPI:1609594530
Name:JEAN-BAPTISTE, OSCAR (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:
Last Name:JEAN-BAPTISTE
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-2229
Mailing Address - Country:US
Mailing Address - Phone:203-568-4987
Mailing Address - Fax:
Practice Address - Street 1:563 NORTHFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2426
Practice Address - Country:US
Practice Address - Phone:973-243-2060
Practice Address - Fax:973-243-2387
Is Sole Proprietor?:No
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02114000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist