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

Individual provider Physical Therapist · NPI 1083732796

Periphon D Faustino, PT is a Physical Therapist in Newark, New Jersey. Licensed in Florida and New Jersey. Registered with an NPI since 2007.

Licensed in
FL, NJ
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

375 McCarter Hwy
Newark, NJ 07114
Phone: (973) 643-8601
Fax: (973) 643-8609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA00810200 (NJ)
Physical Therapist Taxonomy 225100000X · Licence PT6503 (FL)

Record details

NPI number1083732796
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESAugust 22, 2019

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