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

Mr. Boemboy M Vendiola

Individual provider Physical Therapist · NPI 1689721862

Mr. Boemboy M Vendiola is a Physical Therapist in Wayne, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2007

Practice location Address checks out

401 Hamburg Tpke Ste 102
Wayne, NJ 07470-2139
Phone: (201) 794-2121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01189500 (NJ)

Record details

NPI number1689721862
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 3, 2007
Last updated in NPPESJuly 8, 2007

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