Faith Jennifer Gross
Individual provider Active NPI Physical Therapy Assistant · Oakland, NJ
NPI 1124668686 · NPPES record last updated Jan 13, 2020
Key facts
- NPI
- 1124668686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 40QA01897900 (NJ)
- Practice address
- 340 Ramapo Valley Rd
Oakland, NJ 07436-2711 - Phone
- (201) 651-9100
- NPI assigned
- Jan 13, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01897900 | NJ | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QA01897900 | NJ | Yes |
Addresses
Primary practice location
340 Ramapo Valley Rd
Oakland, NJ 07436-2711
Mailing address
12 Board Rd
Hewitt, NJ 07421-3168
Phone (973) 934-6485
Other providers in Oakland, NJ
- John Philip Gould
- Margaret Grady
- Emily Morgan Greenberg
- Natalie Gregory-McCalla
- Jessica Groff
- Richard Austin Hajjar
- Kristie Marie Hanlon
- Olivia Hartos
- Darren G Hartung
- Gary George Hartung
All providers in Oakland, NJ · Physical Therapy Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.