Healthcare Provider Details

I. General information

NPI: 1598673824
Provider Name (Legal Business Name): JONAS SINGER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 WYOMING AVE
MILLBURN NJ
07041-2103
US

IV. Provider business mailing address

325 WYOMING AVE
MILLBURN NJ
07041-2103
US

V. Phone/Fax

Practice location:
  • Phone: 973-309-1386
  • Fax:
Mailing address:
  • Phone: 973-309-1386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number40QA02160900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: