Melinda Donohue
Individual provider Active NPI Physical Therapist · Haskell, NJ
NPI 1730200015 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730200015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA01231900 (NJ)
- Practice address
- 25 5TH Ave
Haskell, NJ 07420-1075 - Phone
- (973) 839-6000
- NPI assigned
- Apr 3, 2007
- 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 |
|---|---|---|---|
| 40QA01231900 | NJ | MD | Physical Therapist |
| PT0004063E | PA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01231900 | NJ | Yes |
| Physical Therapist | 225100000X | PT0004063E | PA |
Addresses
Primary practice location
25 5TH Ave
Haskell, NJ 07420-1075
Mailing address
211 Magnolia Rd
Ramsey, NJ 07446-1147
Phone (201) 962-3448
Other providers in Haskell, NJ
- Mary Elizabeth Defabrizio
- Lawrence Dekoek
- Dizon Wellness Center LLC
- Marcelino Anthony Dizon
- DO Well Be Well of Haskell
- Kelly Maria Doyle
- Eon Therapy Services LLC
- Edward Evanchick
- Danielle Nicoletta Falciglia
- Vanessa Fernandez
All providers in Haskell, NJ · Physical Therapist 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 Jul 8, 2007. 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.