Provider Demographics
NPI:1972728293
Name:ARMENDI, ERNESTO J (PT)
Entity Type:Individual
Prefix:MR
First Name:ERNESTO
Middle Name:J
Last Name:ARMENDI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:83 WHITMAN ST
Mailing Address - Street 2:
Mailing Address - City:HAWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07641-1932
Mailing Address - Country:US
Mailing Address - Phone:201-244-6122
Mailing Address - Fax:201-384-3541
Practice Address - Street 1:763 CONVERY BLVD
Practice Address - Street 2:ROUTE 35 SOUTH
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-2525
Practice Address - Country:US
Practice Address - Phone:732-442-1170
Practice Address - Fax:732-442-1175
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ40QA00561900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ050670Medicare PIN