Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK ANNUNZIATO, D.O.
ActiveDR. JACK ANNUNZIATO, D.O. is a Physical Medicine & Rehabilitation healthcare provider located in RIDGEWOOD, New Jersey. NPI 1821478744 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · RIDGEWOOD, NJ
Registration Details
- NPI Number
- 1821478744
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2015 (11.049372497265 yrs)
- Last Updated
- Apr 28, 2021
- Licenses
-
25MB10536200 (NJ)OT016359 (PA)25MB10536200 (NJ)
Practice Information
- Address
-
1200 E RIDGEWOOD AVE STE 306RIDGEWOOD, NJ, 074503937Browse NJ providers · Browse ZIP 07450
- Phone
- 2016124857
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in RIDGEWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. BEENA S BALAKRISHNAN | M.D. | 1417065061 |
| RANDY F MARRINAN | MD | 1104919109 |
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.