Beredo Physical Therapy and Wellness, LLC
NPI 1457780421ActiveOrganization· Specialist· Bayonne, NJ
Specialist in Bayonne, New Jersey, registered in NPPES in November 2013. The authorized official on file is Gary Beredo, RPT, Physical Therapist/Ceo.
Overview
| NPI | 1457780421 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2013 |
| Last updated in NPPES | Nov 11, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 40QA01002900 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Bayonne
- 1104820588
- 1659583227
- 1881990596
- 1164632329
- 1881097046
- 1063670537
- 1104941384
- 1518496843
- 1306153093
- 1700085867
- 1174705776
- 1356457246