TREVOR ANTHONY JUSTIN DYSON-HUDSON (NPI# 1962731000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962731000 |
| Entity Type | Individual |
| Full Name | TREVOR ANTHONY JUSTIN DYSON-HUDSON |
| Credential | M.D. |
| Practice Address |
1199 Pleasant Valley Way Kessler Foundation Research Center West Orange NJ 07052-1424 |
| Practice Telephone | 9733243576 |
| Practice Fax Number | 9732436984 |
| Mailing Telephone | 9733243576 |
| Mailing Fax Number | 9732436984 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
25MA066490000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1199 PLEASANT VALLEY WAY KESSLER FOUNDATION RESEARCH CENTER |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919620 | Kessler Institute for Rehabilitation Inc | Clinic/Center | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2005-08-12 |
| 1770104002 | Jordana Burstein | Physical Medicine & Rehabilitation | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2020-04-28 |
| 1427677350 | Meghan Leach | Speech-Language Pathologist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2020-04-10 |
| 1760022479 | Kaila Hoer | Occupational Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2020-01-10 |
| 1174168090 | Amanda Jaclyn Sylvester | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-11-14 |
| 1891336616 | Amy Rose Rasmusson | Occupational Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-10-02 |
| 1902457559 | Elizabeth Felker | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-09-25 |
| 1700435344 | Brittany O'reilly | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-09-06 |
| 1922652577 | Katherine Fair Chan | Clinical Neuropsychologist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-07-31 |
| 1801356928 | Jason Sheehan | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073567095 | Regional Orthopedic Professional Association | Physical Medicine & Rehabilitation | 499 Cooper Landing Rd, Cherry Hill, NJ 08002 | 2006-05-22 |
| 1235119686 | Susan V Garstang | Physical Medicine & Rehabilitation | 30 Bergen St, Admc 101, Newark, NJ 07107-3000 | 2006-01-20 |
| 1336485630 | Monica Mehta Md | Physical Medicine & Rehabilitation | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2012-12-14 |
| 1063739829 | Integrative Functional Medicine Associates LLC | Physical Medicine & Rehabilitation | 292 Bloomfield Ave, 2nd Floor, Montclair, NJ 07042-3624 | 2010-05-03 |
| 1548421910 | Amanda Farag | Physical Medicine & Rehabilitation | 385 Tremont Ave, (561/128), East Orange, NJ 07018-1023 | 2008-06-19 |
| 1811098437 | Carol M Gibson-gill | Physical Medicine & Rehabilitation | 385 Tremont Ave, East Orange, NJ 07018 | 2006-09-26 |
| 1043274350 | Kurt Florian P Thomas | Physical Medicine & Rehabilitation | 30 Prospect Ave, Neuroscience Institute, Hackensackumc, Hackensack, NJ 07601-1915 | 2006-04-13 |
| City | WEST ORANGE |
| Zip Code | 07052 |
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| 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.