Performance Physical Medicine
Chiropractor in East Rutherford, New Jersey
1578141818- Practice location
- 150 Union Ave Fl 2, East Rutherford, NJ 07073-1917
- Phone
- 201-414-9545
- Fax
- —
- Last updated
- March 30, 2021
Performance Physical Medicine is a healthcare organization based in East Rutherford, NJ. Performance Physical Medicine practices in East Rutherford, NJ. The NPI Number for Performance Physical Medicine is 1578141818. The current practice location address for Performance Physical Medicine is 150 Union Ave Fl 2, East Rutherford, NJ 07073-1917 and can be reached out via phone at 201-414-9545.
Provider Profile Details
- NPI Number
- 1578141818
- Provider Name
- Performance Physical Medicine
- Provider Entity Type
- Organization
- Address
- 150 Union Ave Fl 2, East Rutherford, NJ 07073-1917
- Phone Number
- 201-414-9545
- Primary Taxonomy
- Chiropractor · 111N00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Brian Michael Wraith, DC · President · 914-661-8444
- Provider Enumeration Date
- March 30, 2021
- Last Update Date
- March 30, 2021
- Certification Date
- March 30, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 150 Union Ave Fl 2
East Rutherford, NJ 07073-1917 - City
- East Rutherford
- State
- New Jersey
- Zip
- 07073-1917
- Phone Number
- 201-414-9545
Provider Business Mailing Address Details
- Address
- 323 Bergen Blvd
Fairview, NJ 07022-1334 - City
- Fairview
- State
- NJ
- Zip
- 07022-1334
- Phone Number
- 201-945-9993
- Fax Number
- 201-945-8873
License Information
- Taxonomy (1)
- Acupuncturist · 171100000X
- Taxonomy (2)
- Physical Therapist · 225100000X
- Taxonomy (3)
- Massage Therapist · 225700000X
- Taxonomy (4)
- Chiropractor · 111N00000X · 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 Performance Physical Medicine?
The NPI number of Performance Physical Medicine is 1578141818. It was assigned on March 30, 2021 and is currently active in the NPPES registry.
What is the specialty of Performance Physical Medicine?
Performance Physical Medicine is registered under the primary taxonomy Chiropractor (code 111N00000X).
Where does Performance Physical Medicine practice?
The practice location is 150 Union Ave Fl 2, East Rutherford, NJ 07073-1917. The office can be reached at 201-414-9545 (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 1578141818 directly on the NPPES registry website.