Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Periphon D Faustino, PT

Individual provider Physical Therapist · NPI 1083732796

Periphon D Faustino, PT is a Physical Therapist in Newark, New Jersey. Licensed in Florida and New Jersey. Registered with an NPI since 2007.

Licensed in
FL, NJ
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

375 McCarter Hwy
Newark, NJ 07114
Phone: (973) 643-8601
Fax: (973) 643-8609
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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 40QA00810200 (NJ)
Physical Therapist Taxonomy 225100000X · Licence PT6503 (FL)

Record details

NPI number1083732796
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESAugust 22, 2019
Mailing address375 McCarter Hwy, Newark, NJ 07114-2562

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