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

Individual provider Physical Therapy Assistant · NPI 1215684261

Mekola Nodjanosh is a Physical Therapy Assistant in Emerson, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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Practice location Address checks out

30 Highland Ave
Emerson, NJ 07630-1212
Phone: (646) 286-2900
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 05168 (NY)

Record details

NPI number1215684261
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 9, 2022
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022
Mailing address30 Highland Ave, Emerson, NJ 07630-1212

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