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 | 111N00000X | Chiropractor | | 38MC00468200 | NEW JERSEY | No |
| 2 | 208100000X | Physical Medicine & Rehabilitation | | 216092 | NEW YORK | No |
| 3 | 2081P0004X | Physical Medicine & Rehabilitation | Spinal Cord Injury Medicine | 25MA070393900 | NEW JERSEY | No |
| 4 | 2081P0004X | Physical Medicine & Rehabilitation | Spinal Cord Injury Medicine | 216092 | NEW YORK | No |
| 5 | 2081P2900X | Physical Medicine & Rehabilitation | Pain Medicine | 25MA07393900 | NEW JERSEY | No |
| 6 | 2081P2900X | Physical Medicine & Rehabilitation | Pain Medicine | 216092 | NEW YORK | No |
| 7 | 208100000X | Physical Medicine & Rehabilitation | | 25MA07393900 | NEW JERSEY | Yes |