PHYSICAL MEDICINE CONSULTANTS LLC NPI 1205090909

NPI Information

  • NPI: 1205090909
  • Provider Name: PHYSICAL MEDICINE CONSULTANTS, LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Doing Business As: ADVANCED REHABILITATION AND WELLNESS CENTER
  • Address: 81 NORTHFIELD AVE
    SUITE 104
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 325-0229

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NPI Details

PHYSICAL MEDICINE CONSULTANTS, LLC is a rehabilitation clinic center in West Orange, NJ. PHYSICAL MEDICINE CONSULTANTS, LLC NPI is 1205090909. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Rehabilitation And Wellness Center.

The provider's business location address is:

81 NORTHFIELD AVE
SUITE 104
WEST ORANGE, NJ
ZIP 07052-342
Phone: (973) 325-0229

The provider's authorized official is Erica Nicola David .
The authorized official title is Medical Director and has the following contact phone number (973) 325-0229.

The enumeration date for this NPI number is 7/11/2008 and was last updated on 7/11/2008.

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
1261QR0400XClinic/CenterRehabilitation25MA07753800NEW 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
1I22375MEDICARE UPINNEW JERSEY
20072770MEDICAIDNEW JERSEY
3086285MEDICARE PINNEW 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: 3/30/2025

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