Healthcare Provider Details

I. General information

NPI: 1790690048
Provider Name (Legal Business Name): NATALIE TIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 PARSONAGE RD STE 508
EDISON NJ
08837-2475
US

IV. Provider business mailing address

104 HIGHLAND AVE
METUCHEN NJ
08840-1913
US

V. Phone/Fax

Practice location:
  • Phone: 732-906-1144
  • Fax:
Mailing address:
  • Phone: 732-912-9682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02437300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: