| NPI | 1306924725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIZ MEHTA Medical Director 201-656-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| 2080P0008X Pediatrics Neurodevelopmental Disabilities | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine | |
| 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NJ 33984) | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 2083S0010X Preventive Medicine Sports Medicine | |
| 2084P2900X Psychiatry & Neurology Pain Medicine | |
| 2084S0010X Psychiatry & Neurology Sports Medicine | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| 209800000X Legal Medicine | |
| 261QM1200X Clinic/Center Magnetic Resonance Imaging (MRI) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-05-09 |