INTEGRATIVE FUNCTIONAL MEDICINE ASSOCIATES LLC NPI 1063739829

NPI Information

  • NPI: 1063739829
  • Provider Name: INTEGRATIVE FUNCTIONAL MEDICINE ASSOCIATES LLC
  • Classification: Physical Medicine & Rehabilitation - 2081P0004X
  • Specialization: Spinal Cord Injury Medicine
  • Entity Type: Organization
  • Address: 292 BLOOMFIELD AVE
    2ND FLOOR
    MONTCLAIR, NJ
    ZIP 07042
  • Phone: (973) 928-8909

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NPI Details

INTEGRATIVE FUNCTIONAL MEDICINE ASSOCIATES LLC is a spinal cord injury medicine physical medicine rehabilitation in Montclair, NJ. The provider is a physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. INTEGRATIVE FUNCTIONAL MEDICINE ASSOCIATES LLC NPI is 1063739829. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

292 BLOOMFIELD AVE
2ND FLOOR
MONTCLAIR, NJ
ZIP 07042-624
Phone: (973) 928-8909
Fax: (201) 967-8425

The provider's authorized official is Jodi Thomas .
The authorized official title is Md and has the following contact phone number (201) 967-8425.

The enumeration date for this NPI number is 5/3/2010 and was last updated on 5/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury Medicine25MA07295900NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1005466MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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