Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andres Chacon

Individual provider Physical Therapist · NPI 1366074148

Andres Chacon is a Physical Therapist in Lyndhurst, New Jersey. Licensed in New Jersey. Registered with an NPI since 2020.

Licensed in
NJ
In the registry since
2020
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Practice location Address checks out

70 Ridge Rd
Lyndhurst, NJ 07071-1216
Phone: (201) 933-9959
Fax: (201) 933-9958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01903000 (NJ)

Record details

NPI number1366074148
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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