Active NPI
Luz Myofascial Pain Treatment Center
- Physical Therapy Clinic/Center
- Newark, NJ
National Provider Identifier
1053552125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 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 DirectoryNPI 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.