Healthcare Provider Details

I. General information

NPI: 1750292983
Provider Name (Legal Business Name): ARON VISORO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

454 PASSAIC ST
HACKENSACK NJ
07601-1519
US

IV. Provider business mailing address

454 PASSAIC ST
HACKENSACK NJ
07601-1519
US

V. Phone/Fax

Practice location:
  • Phone: 201-488-7905
  • Fax:
Mailing address:
  • Phone: 201-488-7905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: