MR. TEDDY SECILLANO (NPI# 1982961470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982961470 |
| Entity Type | Individual |
| Full Name | MR. TEDDY SECILLANO |
| Credential | PT |
| Practice Address |
9020 Wall St North Bergen NJ 07047-6011 |
| Mailing Address |
321 Prospect Ave. Apt 5d Hackensack NJ 07601-2593 |
| Practice Telephone | 2018614040 |
| Mailing Telephone | 7184044462 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
40QA01420100 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40QA01420100 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9020 WALL ST |
| City | NORTH BERGEN |
| State | NJ |
| Zip Code | 07047-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780775635 | North Bergen Healthcare, LLC | Skilled Nursing Facility | 9020 Wall St, North Bergen, NJ 07047-6011 | 2006-09-27 |
| 1194293605 | Julius Ceazar Villaroman Penaranda | Occupational Therapist | 9020 Wall St, North Bergen, NJ 07047-6011 | 2018-11-02 |
| 1831517796 | North Bergen Health Care, LLC | Clinic/Center | 9020 Wall St, 10th Floor, North Bergen, NJ 07047-6011 | 2014-03-28 |
| 1932393949 | Maria Sheryll Manalang | Physical Therapist | 9020 Wall St, North Bergen, NJ 07047-6011 | 2007-09-03 |
| 1124212139 | Shari Mendelson | Speech-Language Pathologist | 9020 Wall St, Hudsonview Care Center, North Bergen, NJ 07047-6011 | 2007-09-02 |
| 1497948673 | Diane Marie Zagacki | Occupational Therapy Assistant | 9020 Wall St, North Bergen, NJ 07047 | 2007-08-22 |
| 1043403264 | Donna P Neal | Physical Therapy Assistant | 9020 Wall St, North Bergen, NJ 07047-6011 | 2007-08-21 |
| 1548451560 | Sanghyub Lee | Physical Therapist | 9020 Wall St, North Bergen, NJ 07047-6011 | 2007-08-06 |
| 1215137682 | Deborah Schrier Bragen | Speech-Language Pathologist | 9020 Wall St, North Bergen, NJ 07047-6011 | 2007-07-23 |
| 1952501512 | Diana M Rosas | Physical Therapist | 9020 Wall St, North Bergen, NJ 07047-6011 | 2007-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
| 1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| Find all providers in zip 07047 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204410 | Gregory Thielman | Physical Therapist | 100 Lindis Farne Ave Apt 4304, Haddon Township, NJ 08108-2761 | 2020-08-07 |
| 1629618582 | Katura Health LLC | Physical Therapist | 542 Freeman Street, 1st Floor, Orange, NJ 07050-6046 | 2020-01-08 |
| 1225596083 | Manaliben C Patel | Physical Therapist | 134 Overlook Ct Apt A, Woodbridge, NJ 07095-1438 | 2019-03-11 |
| 1720562614 | Alfred Banan | Physical Therapist | 306 Martin St, River Vale, NJ 07675-5944 | 2018-09-18 |
| 1295218469 | Arnold Turla Pazcoguin | Physical Therapist | 27 Murray Hill Ter, Bergenfield, NJ 07621-3013 | 2018-09-12 |
| 1861974974 | Karen Tischler | Physical Therapist | 202 White Rd, Jackson, NJ 08527-5014 | 2018-09-05 |
| 1710468681 | Joshua Solomon Itzkowitz | Physical Therapist | 17 Giti Rd, Lakewood, NJ 08701-5630 | 2018-08-28 |
| 1386183556 | Hetal Desai | Physical Therapist | 340 Sterling Pl, Rahway, NJ 07065-4949 | 2017-02-21 |
| 1619410925 | Sarah Margaret Kelber | Physical Therapist | 2 Bailey Ct, Jackson, NJ 08527-4459 | 2016-11-18 |
| 1295181915 | Maria Murphy | Physical Therapist | 290 Chester Ave, Moorestown, NJ 08057-3306 | 2016-05-12 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BERGEN |
| Zip Code | 07047 |
Please comment or provide details below to improve the information on MR. TEDDY SECILLANO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.