IndividualActive
Adeboye Adeniran
NPI 1346650835 · Physical Therapy Assistant · Newark, NJ
Provider details
- NPI number
- 1346650835
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40QB00279400 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
110 Somerset Street
Apt 3a
Newark, NJ 07108
Phone: (973) 517-4679
Approximate (ZIP-level) locationGet directions
Mailing address
110 Somerset St Apt 3a
Newark, NJ 07108-2948
Registry dates
- Enumerated
- 2014-05-06
- Last updated
- 2014-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.