Provider Demographics
NPI:1205885043
Name:HUNT, GEOFFREY M (PT)
Entity type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:M
Last Name:HUNT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 GEARYS RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RINGOES
Mailing Address - State:NJ
Mailing Address - Zip Code:08551-1842
Mailing Address - Country:US
Mailing Address - Phone:732-297-0032
Mailing Address - Fax:732-297-0558
Practice Address - Street 1:3228 STATE ROUTE 27
Practice Address - Street 2:
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824-1445
Practice Address - Country:US
Practice Address - Phone:732-297-0032
Practice Address - Fax:732-297-0558
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00836400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7148257OtherAETNA PROVIDER NUMBER
NJ057568Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
NJ051450QKJMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER