Davis Integrated Medicine LLC
Physical Medicine & Rehabilitation in Montclair, New Jersey
1417375338- Practice location
- 309 Orange RD, Montclair, NJ 07042-4451
- Phone
- 973-839-1003
- Fax
- 973-839-3653
- Last updated
- March 29, 2014
Davis Integrated Medicine LLC is a healthcare organization based in Montclair, NJ. Davis Integrated Medicine LLC practices in Montclair, NJ. The NPI Number for Davis Integrated Medicine LLC is 1417375338 and holds a License No. 25ma07295900 (NJ). The current practice location address for Davis Integrated Medicine LLC is 309 Orange RD, Montclair, NJ 07042-4451 and can be reached out via phone at 973-839-1003 and via fax at 973-839-3653.
Provider Profile Details
- NPI Number
- 1417375338
- Provider Name
- Davis Integrated Medicine LLC
- Provider Entity Type
- Organization
- Address
- 309 Orange RD, Montclair, NJ 07042-4451
- Phone Number
- 973-839-1003
- Fax Number
- 973-839-3653
- Primary Taxonomy
- Physical Medicine & Rehabilitation · 208100000X
- Organization Subpart
- No
- Authorized Official
- Dr. Jodi Thomas, MD · Physican · 973-839-1003
- Provider Enumeration Date
- March 29, 2014
- Last Update Date
- March 29, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 309 Orange RD
Montclair, NJ 07042-4451 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-4451
- Phone Number
- 973-839-1003
- Fax Number
- 973-839-3653
Provider Business Mailing Address Details
- Address
- 309 Orange RD
Montclair, NJ 07042-4451 - City
- Montclair
- State
- NJ
- Zip
- 07042-4451
- Phone Number
- 973-839-1003
- Fax Number
- 973-839-3653
License Information
- License Number
- 25ma07295900
- License State
- NJ
- Taxonomy
- Physical Medicine & Rehabilitation · 208100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Davis Integrated Medicine LLC?
The NPI number of Davis Integrated Medicine LLC is 1417375338. It was assigned on March 29, 2014 and is currently active in the NPPES registry.
What is the specialty of Davis Integrated Medicine LLC?
Davis Integrated Medicine LLC is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in NJ under license number 25ma07295900.
Where does Davis Integrated Medicine LLC practice?
The practice location is 309 Orange RD, Montclair, NJ 07042-4451. The office can be reached at 973-839-1003 (phone) or 973-839-3653 (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 1417375338 directly on the NPPES registry website.