Active NPIOrganization

Nj Rehab Pain Clinic PC

Physical Therapist in Ridgefield, New Jersey

NPI Number1164879524
Practice location
845 Broad Ave, Ridgefield, NJ 07657-1002
Fax
—
Last updated
May 18, 2016

Nj Rehab Pain Clinic PC is a healthcare organization based in Ridgefield, NJ. Nj Rehab Pain Clinic PC practices in Ridgefield, NJ. The NPI Number for Nj Rehab Pain Clinic PC is 1164879524 and holds a License No. 40QA01074500 (NJ). The current practice location address for Nj Rehab Pain Clinic PC is 845 Broad Ave, Ridgefield, NJ 07657-1002 and can be reached out via phone at 201-390-3730.

Provider Profile Details

NPI Number
1164879524
Provider Name
Nj Rehab Pain Clinic PC
Provider Entity Type
Organization
Address
845 Broad Ave, Ridgefield, NJ 07657-1002
Phone Number
201-390-3730
Primary Taxonomy
Physical Therapist · 225100000X
Organization Subpart
No
Authorized Official
Dave C Marcon, PT · Owner · 201-390-3730
Provider Enumeration Date
May 16, 2016
Last Update Date
May 18, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
845 Broad Ave
Ridgefield, NJ 07657-1002
Zip
07657-1002
Phone Number
201-390-3730
Ridgefield, NJ 07657Get directions →

Provider Business Mailing Address Details

Address
845 Broad Ave
Ridgefield, NJ 07657-1002
City
Ridgefield
State
NJ
Zip
07657-1002
Phone Number
201-390-3730

License Information

License Number
40QA01074500
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

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 Nj Rehab Pain Clinic PC?

The NPI number of Nj Rehab Pain Clinic PC is 1164879524. It was assigned on May 16, 2016 and is currently active in the NPPES registry.

What is the specialty of Nj Rehab Pain Clinic PC?

Nj Rehab Pain Clinic PC is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01074500.

Where does Nj Rehab Pain Clinic PC practice?

The practice location is 845 Broad Ave, Ridgefield, NJ 07657-1002. The office can be reached at 201-390-3730 (phone).

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 1164879524 directly on the NPPES registry website.

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