| NPI | 1336485630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MEHTA Medical Doctor 201-656-4324 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 202C00000X Independent Medical Examiner |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine | |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081H0002X Physical Medicine & Rehabilitation Hospice and Palliative Medicine | |
| 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine | |
| 2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| 209800000X Legal Medicine | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |