Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. REGGIE C MATTAPPALLIL, PTA
Active Sole ProprietorMR. REGGIE C MATTAPPALLIL, PTA is a Skilled Nursing Facility healthcare provider located in WEST CALDWELL, New Jersey. NPI 1093935595 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · WEST CALDWELL, NJ
Registration Details
- NPI Number
- 1093935595
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2007 (19.278150569551 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
459 PASSAIC AVEWEST CALDWELL, NJ, 070067457Browse NJ providers · Browse ZIP 07006
- Phone
- 9732767887
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.