Healthcare Provider Details

I. General information

NPI: 1881199115
Provider Name (Legal Business Name): PLAGIOCARELLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 04/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S ORANGE AVE STE 250
LIVINGSTON NJ
07039-5817
US

IV. Provider business mailing address

200 S ORANGE AVE STE 250
LIVINGSTON NJ
07039-5817
US

V. Phone/Fax

Practice location:
  • Phone: 973-758-8195
  • Fax: 973-251-9039
Mailing address:
  • Phone: 973-758-8195
  • Fax: 973-251-9039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: FRANK CIMINELLO
Title or Position: MD
Credential:
Phone: 917-584-0578