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PANDA PHYSICAL MEDICINE LLC
NPI 1043711203
Nurse Practitioner in Eatontown, NJ

Active since February 23, 2018
142 HIGHWAY 35 STE 107, EATONTOWN, NJ 07724(732) 898-3040(732) 531-1200 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2022, Apr 29, 2022, Feb 23, 2018 (3 updates tracked since 2018).

About Panda Physical Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PANDA PHYSICAL MEDICINE LLC (NPI 1043711203) is a healthcare organization registered as a nurse practitioner in Eatontown, New Jersey and active in the NPI registry since February 2018. The organization lists Charles A Ferrante, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1043711203
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePANDA PHYSICAL MEDICINE LLC
Location Address142 HIGHWAY 35 STE 107Eatontown, NJ 07724-1864
Mailing Address904 Deal Rd Apt 12Ocean, NJ 07712-3443 · (732) 455-1375 · Fax (732) 230-7680
Phone(732) 898-3040
Fax(732) 531-1200
Organization SubpartNo
Authorized OfficialCharles A FerranteClinic Manager · (732) 455-1375
Enumeration DateFebruary 23, 2018
Last NPPES UpdateMay 27, 20223 updates tracked since enumeration
NPPES CertifiedMay 27, 2022
✔ NPI 1043711203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedSpecialistTaxonomy 174400000X
142 HIGHWAY 35 STE 107, Eatontown, NJ 07724
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NJ KNEE AND NEUROPATHY CENTERLLC
Internal Medicine
142 HIGHWAY 35 STE 107
EATONTOWN, NJ 07724
Monmouth County (201) 888-1419
PANDA PHYSICAL MEDICINE LLC
Chiropractor (Neurology)
142 HIGHWAY 35 STE 107
EATONTOWN, NJ 07724
Monmouth County (732) 867-8030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Panda Physical Medicine LLC's NPI number?

The NPI number for Panda Physical Medicine LLC is 1043711203. It was assigned to this organization in the NPPES registry on February 23, 2018.

Where is Panda Physical Medicine LLC located?

Panda Physical Medicine LLC is located at 142 Highway 35 Ste 107, Eatontown, NJ 07724. The listed phone number is (732) 898-3040.

What is Panda Physical Medicine LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Panda Physical Medicine LLC was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.