Provider Demographics
NPI:1396261350
Name:NEGRON, JANINE ELIZABETH (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JANINE
Middle Name:ELIZABETH
Last Name:NEGRON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 IRA AVE
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-2434
Mailing Address - Country:US
Mailing Address - Phone:908-380-2549
Mailing Address - Fax:
Practice Address - Street 1:415 ROUTE 34 STE 108
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-2523
Practice Address - Country:US
Practice Address - Phone:732-858-1335
Practice Address - Fax:732-201-4563
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-21
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01746300261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy