Nicholas Joseph Gorini, DPT, CSCS

Individual provider Active NPI Physical Therapist · Annandale, NJ

NPI 1831523182 · NPPES record last updated Aug 22, 2013

Key facts

NPI
1831523182
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA01509600 (NJ)
Practice address
1465 Route 31
Annandale, NJ 08801-3129
Phone
(908) 735-6866
NPI assigned
Aug 22, 2013
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

LicenseStateTypeSpecialty
40QA01509600NJMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01509600 NJ Yes

Addresses

Primary practice location

1465 Route 31
Annandale, NJ 08801-3129

Mailing address

15 Abedim Way
Califon, NJ 07830-3500
Phone (908) 500-6593

Other providers in Annandale, NJ

All providers in Annandale, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.