Organization Active NPI

Luz Myofascial Pain Treatment Center

  • Physical Therapy Clinic/Center
  • Newark, NJ
National Provider Identifier
1053552125
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LUZ MYOFASCIAL PAIN TREATMENT CENTER
Practice address
110 Fleming Ave
Newark, NJ 07105-4012
Phone
(973) 466-0270
Fax
(973) 466-0271
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Luz Marina Pereira
Title
Director
Phone
(973) 466-0270

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ReflexologistGroup: 193200000X MULTI-SPECIALTY GROUP 173C00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

110 Fleming Ave
Newark, NJ 07105-4012

Mailing address

110 Fleming Ave
Newark, NJ 07105-4012
Phone (973) 466-0270

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1053552125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FLEMING AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071054012",
            "telephone_number": "973-466-0270",
            "fax_number": "973-466-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FLEMING AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071054012",
            "telephone_number": "973-466-0270",
            "fax_number": "973-466-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ MYOFASCIAL PAIN TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "MARINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-466-0270",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.