Provider Demographics
NPI:1831515972
Name:HERMANS, JENNIFER Z (PTA/LAC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:Z
Last Name:HERMANS
Suffix:
Gender:F
Credentials:PTA/LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 MARNE RD
Mailing Address - Street 2:
Mailing Address - City:HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07843-1815
Mailing Address - Country:US
Mailing Address - Phone:973-563-6733
Mailing Address - Fax:
Practice Address - Street 1:270 VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:WOOD RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07075-1202
Practice Address - Country:US
Practice Address - Phone:973-852-3852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-13
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00178600171100000X
NJ40QB00290000225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No171100000XOther Service ProvidersAcupuncturist