IndividualActive
Tony Chukwueke, PTA
NPI 1023239605 · Child Intellectual and/or Developmental Disabilities Respite Care · Linden, NJ
Provider details
- NPI number
- 1023239605
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 005317-1 (NY)
Specialties & taxonomies
- Child Intellectual and/or Developmental Disabilities Respite CarePrimary385HR2060XLicense 005317-1 (NY)
Respite Care Facility
Practice location
15 West 18th Street
Linden, NJ 07036
Phone: (845) 564-9853
Fax: (845) 564-6974
Approximate (ZIP-level) locationGet directions
Mailing address
15 West 18th Street
Linden, NJ 07036
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.