Provider Demographics
NPI:1457584864
Name:CHENG, KEN SING (DPT)
Entity Type:Individual
Prefix:MR
First Name:KEN
Middle Name:SING
Last Name:CHENG
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1299 ROUTE 38
Mailing Address - Street 2:SUITE 9
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036
Mailing Address - Country:US
Mailing Address - Phone:609-845-3583
Mailing Address - Fax:888-719-2999
Practice Address - Street 1:1299 ROUTE 38
Practice Address - Street 2:SUITE 9
Practice Address - City:HAINESPORT
Practice Address - State:NJ
Practice Address - Zip Code:08036
Practice Address - Country:US
Practice Address - Phone:609-845-3583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA013278002251X0800X
NJ40QA13278002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic