Provider Demographics
NPI:1740394048
Name:FALTO, JOSHUA (PA)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:
Last Name:FALTO
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 WILLIAMS AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3008
Mailing Address - Country:US
Mailing Address - Phone:845-352-0301
Mailing Address - Fax:845-694-8231
Practice Address - Street 1:25 ROCKWOOD PL STE 335
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4959
Practice Address - Country:US
Practice Address - Phone:877-854-8274
Practice Address - Fax:845-503-2316
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2022-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008674-1363A00000X, 363AM0700X, 363AS0400X
NJMP00187000363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical