Provider Demographics
NPI:1942695465
Name:LUNA, MAGDALENY D (PT)
Entity Type:Individual
Prefix:MS
First Name:MAGDALENY
Middle Name:D
Last Name:LUNA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1527 STATE ROUTE 27
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3979
Mailing Address - Country:US
Mailing Address - Phone:732-545-7474
Mailing Address - Fax:732-545-2880
Practice Address - Street 1:777 SPRINGFIELD AVE APT 11
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2329
Practice Address - Country:US
Practice Address - Phone:908-347-6484
Practice Address - Fax:732-545-2880
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QB00308700225200000X
NJ18KT01429600225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant