Provider Demographics
NPI:1285970202
Name:RYBENOK, PAYAL (PT)
Entity type:Individual
Prefix:
First Name:PAYAL
Middle Name:
Last Name:RYBENOK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:PAYAL
Other - Middle Name:
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:981 US HIGHWAY 22 FL 2
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2946
Mailing Address - Country:US
Mailing Address - Phone:201-801-7141
Mailing Address - Fax:
Practice Address - Street 1:572 US HIGHWAY 130 STE 4
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2603
Practice Address - Country:US
Practice Address - Phone:609-632-2129
Practice Address - Fax:908-688-0720
Is Sole Proprietor?:No
Enumeration Date:2012-12-19
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01478600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist