DR. ILEANA FAJARDO D.P.T.
NPI 1194004275
Specialist in Avenel, NJ

Active since August 08, 2011
415 AVENEL ST, AVENEL, NJ 07001(732) 693-6788(732) 636-7887 Get Directions Write a Review

NPPES record last updated: August 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ileana Fajardo D.p.t. NPPES

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

DR. ILEANA FAJARDO D.P.T. (NPI 1194004275) is an individual specialist in Avenel, New Jersey, licensed in New Jersey (40QA01384600) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1194004275
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. ILEANA FAJARDOCredential: D.P.T.
Location Address415 AVENEL STAvenel, NJ 07001-1147
Mailing Address415 Avenel StAvenel, NJ 07001-1147 · (732) 693-6788 · Fax (732) 636-7887
Fax(732) 636-7887
Sole ProprietorNo
Enumeration DateAugust 8, 2011
NPI 1194004275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · 40QA01384600
Definition
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.
415 AVENEL ST, Avenel, NJ 07001

Other Providers at the Same Location NPPES 9

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

Dentist
415 AVENEL ST
AVENEL, NJ 07001
Physical Medicine & Rehabilitation
415 AVENEL ST
AVENEL, NJ 07001
Clinic/Center (Physical Therapy)
415 AVENEL ST
AVENEL, NJ 07001
Clinic/Center (Urgent Care)
415 AVENEL ST
AVENEL, NJ 07001
Pediatrics
415 AVENEL ST
AVENEL, NJ 07001
Pediatrics
415 AVENEL ST, SUITE A
AVENEL, NJ 07001
Internal Medicine
415 AVENEL ST
AVENEL, NJ 07001
Dentist
415 AVENEL ST
AVENEL, NJ 07001

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 Ileana Fajardo's NPI number?

The NPI number for Ileana Fajardo is 1194004275. It was assigned to this individual provider in the NPPES registry on August 8, 2011.

Where is Ileana Fajardo located?

Ileana Fajardo practices at 415 Avenel St, Avenel, NJ 07001. The listed phone number is (732) 693-6788.

What is Ileana Fajardo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ileana Fajardo was last updated on August 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.