Provider Demographics
NPI:1548451503
Name:DE LUMEN, ERMIN (RPT)
Entity type:Individual
Prefix:
First Name:ERMIN
Middle Name:
Last Name:DE LUMEN
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 RIDGE RD
Mailing Address - Street 2:STE 1
Mailing Address - City:NORTH ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07031-6350
Mailing Address - Country:US
Mailing Address - Phone:973-901-8049
Mailing Address - Fax:
Practice Address - Street 1:44 RIDGE RD
Practice Address - Street 2:STE 1
Practice Address - City:NORTH ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07031-6350
Practice Address - Country:US
Practice Address - Phone:973-901-8049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032586225100000X
225200000X
NJ40QAO1336000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant