PROVERE PHYSICAL THERAPY - PARAMUS LLC (NPI# 1962925412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962925412 |
| Entity Type | Organization |
| Organization Name | PROVERE PHYSICAL THERAPY - PARAMUS LLC |
| Practice Address |
407 Sette Dr Bldg E Paramus NJ 07652-2940 |
| Mailing Address |
637 Wyckoff Ave Pmb 361 Wyckoff NJ 07481-1438 |
| Practice Telephone | 2015387131 |
| Practice Fax Number | 2015387131 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Authorized Official Name | CEDRIC HADDAD (CO-OWNER) |
| Authorized Official Telephone | 2015387131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Street Address |
407 SETTE DR BLDG E |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363582 | Rufus Zachary Hay | Physical Therapist | 1609 11th Ave, Toms River, NJ 08757-2038 | 2020-10-13 |
| 1497376297 | Nicholas Mckaba | Physical Therapist | 33 Ascot Dr, Long Valley, NJ 07853-3660 | 2020-05-03 |
| 1437624269 | Heather Minue | Physical Therapist | 38 Danbury Rd, Tinton Falls, NJ 07753-7918 | 2018-10-08 |
| 1477804748 | Joseph B. Peragine | Physical Therapist | 144 Princeton Oval, Freehold, NJ 07728-5336 | 2012-09-27 |
| 1235431586 | Harold Alaan | Physical Therapist | 239 English Pl, Basking Ridge, NJ 07920-2799 | 2010-11-18 |
| 1154595197 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 136 Hopper Ave., Waldwick, NJ 07463 | 2008-04-22 |
| 1619061074 | Benjamin Meir Burton | Physical Therapist | 69 Newark Pompton Tpke, Riverdale, NJ 07457-1426 | 2006-10-03 |
| 1952408296 | Rodolfo Chua Jr. | Physical Therapist | 575 High Mountain Rd, North Haledon, NJ 07508-2662 | 2006-09-20 |
| 1689781593 | Shane Famille | Physical Therapist | 17 11th Ave, Glendora, NJ 08029-1333 | 2006-08-24 |
| 1093731036 | Thomas Matthew Donofrio | Physical Therapist | 595 Wildwood Rd W, Northvale, NJ 07647 | 2006-07-14 |
| Find all providers with the same taxonomy | ||||
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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.