| NPI | 1467522235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MEHTA Medical Director 201-656-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 33984) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NJ 33984) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NJ 33984) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NJ 33984) | |
| 2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine (Licence: NJ 33984) | |
| 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: NJ 33984) | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NJ 33984) | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: NJ 33984) | |
| 2083S0010X Preventive Medicine Sports Medicine (Licence: NJ 33984) | |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: NJ 33984) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: NJ 33984) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NJ 33984) | |
| 209800000X Legal Medicine (Licence: NJ 33984) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2012-10-15 |