MEDICARE: VANESSA BAGGIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	40QA02401900	NJ

General Provider Information

NPI Number	:	1265385033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA BAGGIO

Provider Business Mailing Address
First Line	:	26 KOZY LN
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07013-2203
Country	:	US
Telephone Number	:	201-753-2368
Fax Number	:

Provider Business Practice Location Address
First Line	:	725 RIVER RD STE 60
Second Line	:
City	:	EDGEWATER
State	:	NJ
Zip	:	07020-1149
Country	:	US
Telephone Number	:	201-941-2240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “ VANESSA BAGGIO ” Practice Location

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