Dr. Jack Annunziato, DO
Dr. Jack Annunziato, DO is a Plastic and Reconstructive Surgery in Ridgewood, New Jersey. Graduated from Rowan University School of Osteopathic Medicine in 2015, 11 years ago. Practices with Valley Physician Services PC, a 592-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Pennsylvania.
- Years since qualifying
- 11
- Trained at
- Rowan University School of Osteopathic Medicine
- Licensed in
- NJ, PA
- In the registry since
- 2015
- Specialties on file
- 3
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
1200 E Ridgewood Ave Ste 306Ridgewood, NJ 07450-3937
Phone: (201) 612-4857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 25MB10536200 (NJ) |
|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | Taxonomy 204D00000X · Licence 25MB10536200 (NJ) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence OT016359 (PA) |
Record details
| NPI number | 1821478744 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | June 5, 2015 |
| Last updated in NPPES | April 28, 2021 |
| Certification date | April 28, 2021 |
| Mailing address | 1200 E Ridgewood Ave Ste 306, Ridgewood, NJ 07450-3937 |
Medicare enrollment
| Medicare specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
|---|---|
| Medical school | ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduated | 2015 (11 years in practice) |
| Group practice | Valley Physician Services Pc — 592 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Ridgewood
-
Dr. Duncan B Carpenter, MD
225 Dayton St, Ridgewood, NJ 07450-4407 · (201) 612-0020