DON A JANNICELLI PT NPI 1316013378

NPI Information

NPI: 1316013378
Provider Name: DON A JANNICELLI, PT
Classification: Specialist - 174400000X
Entity Type: Organization
Doing Business As: BLOOMFIELD INST PHY THERAPY
Address: 230 BROAD ST
BLOOMFIELD, NJ
ZIP 07003
Phone: (973) 680-1971

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NPI Details

DON A JANNICELLI, PT is a specialist in Bloomfield, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DON A JANNICELLI, PT NPI is 1316013378. The provider is registered as an organization entity type.
The provider Is Doing Business As Bloomfield Inst Phy Therapy.

The provider's business location address is:

230 BROAD ST
BLOOMFIELD, NJ
ZIP 07003-606
Phone: (973) 680-1971
Fax: (973) 680-4837

The provider's authorized official is Cheryl C Frankoski .
The authorized official title is Office Manager and has the following contact phone number (973) 680-1971.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 7/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2000X	Clinic/Center	Physical Therapy	40QA00135900	NEW JERSEY	No
2	261QR0400X	Clinic/Center	Rehabilitation	40QA00135900	NEW JERSEY	No
3	174400000X	Specialist		40QA00135900	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	JA617099	MEDICARE PIN	NEW JERSEY
2	=========	MEDICARE UPIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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