Provider Demographics
NPI:1124117460
Name:NAPOLITANO, JOSEPH V (PT)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:V
Last Name:NAPOLITANO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 W WATER ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-7472
Mailing Address - Country:US
Mailing Address - Phone:732-244-5566
Mailing Address - Fax:732-244-6766
Practice Address - Street 1:36 W WATER ST
Practice Address - Street 2:SUITE 2
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-7472
Practice Address - Country:US
Practice Address - Phone:732-244-5566
Practice Address - Fax:732-244-6766
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00373400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ316579Medicare ID - Type Unspecified