GARDEN STATE ORTHOPAEDIC ASSOCAITES, P.A. (NPI# 1598021586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598021586 |
| Entity Type | Organization |
| Organization Name | GARDEN STATE ORTHOPAEDIC ASSOCAITES, P.A. |
| Practice Address |
28-12 Broadway Fair Lawn NJ 07410-3913 |
| Mailing Address |
28-04 Broadway Fair Lawn NJ 07410-3913 |
| Practice Telephone | 2014758482 |
| Mailing Telephone | 2017914434 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |
| Authorized Official Name | DR. KENNETH A LEVITSKY (PRESIDENT) |
| Authorized Official Telephone | 2017914434 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
28-12 BROADWAY |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-3913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295809135 | Rosauro Mendoza Aquino | Physical Therapist | 28-12 Broadway, Fair Lawn, NJ 07410-3924 | 2006-11-20 |
| 1720694730 | Alison Turner | Physical Therapist | 28-12 Broadway, Fair Lawn, NJ 07410-3924 | 2020-09-16 |
| 1992364236 | Ivyrehab Network Inc | Physical Medicine & Rehabilitation | 28-12 Broadway, Fair Lawn, NJ 07410-3924 | 2019-06-11 |
| 1780964502 | Gene Yau | Physical Therapy Assistant | 28-12 Broadway, Fair Lawn, NJ 07410-3924 | 2011-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902836240 | Pillar of Light, Inc | Clinic/Center | 37-03 Berdan Ave, Fair Lawn, NJ 07410-4229 | 2006-07-03 |
| 1285177378 | Precision Physical Therapy, Inc | Clinic/Center | 15-01 Pollitt Dr, Suite 3, Fair Lawn, NJ 07410-2769 | 2016-11-22 |
| 1043682099 | Dmr Rehabilitation | Clinic/Center | 17-15 Maple Ave, Fair Lawn, NJ 07410-1552 | 2015-10-28 |
| 1558787309 | Back To Motion, LLC | Clinic/Center | 22-24 Morlot Ave, Fair Lawn, NJ 07410-3121 | 2014-03-17 |
| 1538326756 | Kessler Institute for Rehabilitation Inc | Clinic/Center | 15 01 Broadway, Ste 9, Fair Lawn, NJ 07410-6003 | 2008-05-16 |
| 1609043231 | Kessler Institute for Rehabilitation Inc | Clinic/Center | 15-01 Broadway, Suite 9, Fair Lawn, NJ 07410-6003 | 2008-05-13 |
| 1942411517 | Bella Physical Therapy, PC | Clinic/Center | 39-40 Broadway, Fair Lawn, NJ 07410-5419 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336303 | 180degree Therapy | Clinic/Center | 52 Hillcrest Dr, Wayne, NJ 07470-5729 | 2020-11-04 |
| 1467052209 | Maximum Health Physical Therapy of Long Valley, PC | Clinic/Center | 62 E Mill Rd Ste A2, Long Valley, NJ 07853-3118 | 2020-10-30 |
| 1225637861 | Mvmt Performance LLC | Clinic/Center | 133 Eayrestown Rd, Southampton, NJ 08088-9122 | 2020-10-24 |
| 1033718473 | Orthostrength Physical Therapy | Clinic/Center | 8 Eastman St Ste 3, Cranford, NJ 07016-2291 | 2020-10-17 |
| 1356949317 | Coast Physio LLC | Clinic/Center | 140 Metedeconk Rd, Brick, NJ 08723-5442 | 2020-10-13 |
| 1639777964 | Trinity Rehab Somerset Pa | Clinic/Center | 1130 Broad St, Shrewsbury, NJ 07702-4308 | 2020-10-09 |
| 1649878976 | Trinity Rehab Somerset Pa | Clinic/Center | 734 Morris Tpke, Short Hills, NJ 07078-2614 | 2020-10-09 |
| 1336747666 | Trinity Rehab Somerset Pa | Clinic/Center | 910 Hamburg Tpke, Wayne, NJ 07470-3225 | 2020-10-09 |
| 1013514306 | Shoreside In Home Therapy | Clinic/Center | 213 19th Ave, Belmar, NJ 07719-2655 | 2020-10-08 |
| 1164039434 | Cano Physical Therapy | Clinic/Center | 1615 80th St, North Bergen, NJ 07047-4165 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GARDEN STATE ORTHOPAEDIC ASSOCAITES, P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.