Active NPIOrganization

Integrative Functional Medicine Associates LLC

Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine in Montclair, New Jersey

NPI Number1063739829
Practice location
292 Bloomfield Ave, 2ND Floor, Montclair, NJ 07042-3624
Fax
201-967-8425
Last updated
May 3, 2010

Integrative Functional Medicine Associates LLC is a healthcare organization based in Montclair, NJ. Integrative Functional Medicine Associates LLC practices in Montclair, NJ. The NPI Number for Integrative Functional Medicine Associates LLC is 1063739829 and holds a License No. 25MA07295900 (NJ). The current practice location address for Integrative Functional Medicine Associates LLC is 292 Bloomfield Ave, 2ND Floor, Montclair, NJ 07042-3624 and can be reached out via phone at 973-928-8909 and via fax at 201-967-8425.

Provider Profile Details

NPI Number
1063739829
Provider Name
Integrative Functional Medicine Associates LLC
Provider Entity Type
Organization
Address
292 Bloomfield Ave, 2ND Floor, Montclair, NJ 07042-3624
Phone Number
973-928-8909
Fax Number
201-967-8425
Organization Subpart
No
Authorized Official
Jodi Thomas · MD · 201-967-8425
Provider Enumeration Date
May 3, 2010
Last Update Date
May 3, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
292 Bloomfield Ave
2ND Floor
Montclair, NJ 07042-3624
Zip
07042-3624
Phone Number
973-928-8909
Fax Number
201-967-8425
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
41 Watchung Plz
Suite 345
Montclair, NJ 07042-4117
City
Montclair
State
NJ
Zip
07042-4117
Phone Number
201-967-8425
Fax Number
201-967-8443

License Information

License Number
25MA07295900
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Integrative Functional Medicine Associates LLC?

The NPI number of Integrative Functional Medicine Associates LLC is 1063739829. It was assigned on May 3, 2010 and is currently active in the NPPES registry.

What is the specialty of Integrative Functional Medicine Associates LLC?

Integrative Functional Medicine Associates LLC is registered under the primary taxonomy Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (code 2081P0004X), licensed in NJ under license number 25MA07295900.

Where does Integrative Functional Medicine Associates LLC practice?

The practice location is 292 Bloomfield Ave, 2ND Floor, Montclair, NJ 07042-3624. The office can be reached at 973-928-8909 (phone) or 201-967-8425 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063739829 directly on the NPPES registry website.

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