Active NPIOrganization

Dynamic Health Rehabilitation Center PC

Specialist in Fair Lawn, New Jersey

NPI Number1588077705
Practice location
31-00 Broadway, 1 St Floor, Fair Lawn, NJ 07410-3963
Fax
201-791-7337
Last updated
June 5, 2014

Dynamic Health Rehabilitation Center PC is a healthcare organization based in Fair Lawn, NJ. Dynamic Health Rehabilitation Center PC practices in Fair Lawn, NJ. The NPI Number for Dynamic Health Rehabilitation Center PC is 1588077705 and holds a License No. 25MA07870200 (NJ). The current practice location address for Dynamic Health Rehabilitation Center PC is 31-00 Broadway, 1 St Floor, Fair Lawn, NJ 07410-3963 and can be reached out via phone at 201-791-7771 and via fax at 201-791-7337.

Provider Profile Details

NPI Number
1588077705
Provider Name
Dynamic Health Rehabilitation Center PC
Provider Entity Type
Organization
Address
31-00 Broadway, 1 St Floor, Fair Lawn, NJ 07410-3963
Phone Number
201-791-7771
Fax Number
201-791-7337
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Dr. Grigory Health & Shtender, MD · President · 201-791-7771
Provider Enumeration Date
June 5, 2014
Last Update Date
June 5, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
31-00 Broadway
1 St Floor
Fair Lawn, NJ 07410-3963
Zip
07410-3963
Phone Number
201-791-7771
Fax Number
201-791-7337
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
31-00 Broadway
1 St Floor
Fair Lawn, NJ 07410
City
Fair Lawn
State
NJ
Zip
07410
Phone Number
201-791-7771
Fax Number
201-791-7337

License Information

License Number
25MA07870200
License State
NJ
Taxonomy
Specialist · 174400000X · 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 Dynamic Health Rehabilitation Center PC?

The NPI number of Dynamic Health Rehabilitation Center PC is 1588077705. It was assigned on June 5, 2014 and is currently active in the NPPES registry.

What is the specialty of Dynamic Health Rehabilitation Center PC?

Dynamic Health Rehabilitation Center PC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA07870200.

Where does Dynamic Health Rehabilitation Center PC practice?

The practice location is 31-00 Broadway, 1 St Floor, Fair Lawn, NJ 07410-3963. The office can be reached at 201-791-7771 (phone) or 201-791-7337 (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 1588077705 directly on the NPPES registry website.

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