Werner Salvador Bustamante, PT, DPT
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Dover, NJ
NPI 1780460964 · NPPES record last updated Sep 5, 2023
Key facts
- NPI
- 1780460964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 40QA02197200 (NJ)
- Practice address
- 600 Mount Pleasant Ave Ste F
Dover, NJ 07801-1621 - Phone
- (973) 366-4000
- NPI assigned
- Sep 5, 2023
- Sex
- Male
- 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 |
|---|---|---|---|
| 40QA02197200 | NJ | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 40QA02197200 | NJ | Yes |
Addresses
Primary practice location
600 Mount Pleasant Ave Ste F
Dover, NJ 07801-1621
Mailing address
600 Mount Pleasant Ave Ste F
Dover, NJ 07801-1621
Phone (973) 366-4000
Other providers in Dover, NJ
- Dana Boyle
- Brain Institute of Northern New Jersey PA
- Jay E Brecker
- Neola Bricuyet
- Carmen Y Bustamante
- Lina Maria Calderon
- Andrea Campisano
- Kristal M Cannici
- Shanna Canty
- Judith Caruso
All providers in Dover, NJ · Physical Medicine & Rehabilitation Physician 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 Sep 5, 2023. 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.