FAITH ESSENCE SMASH LMT NPI 1295246510

NPI Information

NPI: 1295246510
Provider Name: FAITH ESSENCE SMASH, LMT
Classification: Clinic/Center - 261QP3300X
Entity Type: Individual

Specialization: Pain

Address:
169 PARIS AVE
NORTHVALE, NJ
ZIP 07647
Phone: (201) 564-7861
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Faith Essence Smash, LMT is a pain clinic center in Northvale, NJ. Faith Essence Smash, LMT NPI is 1295246510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

169 PARIS AVE
NORTHVALE, NJ
ZIP 07647-028
Phone: (201) 564-7861

The enumeration date for this NPI number is 10/12/2017 and was last updated on 10/12/2017.

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
1	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		18KT00649900	NEW JERSEY	No
2	204D00000X	Neuromusculoskeletal Medicine & OMM		18KT00649900	NEW JERSEY	No
3	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	18KT00649900	NEW JERSEY	No
4	261QP3300X	Clinic/Center	Pain	18KT00649900	NEW JERSEY	Yes
5	2081N0008X	Physical Medicine & Rehabilitation	Neuromuscular Medicine	18KT00649900	NEW JERSEY	No
6	2084N0008X	Psychiatry & Neurology	Neuromuscular Medicine	18KT00649900	NEW JERSEY	No

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: 5/5/2024

NPI Synchronization or Removal

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