Organization Active NPI

Med Data Science Inc

  • Physical Therapist
  • Boonton, NJ
National Provider Identifier
1063248383
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MED DATA SCIENCE INC
Practice address
107 Taylortown Rd
Boonton, NJ 07005-8906
Phone
(848) 228-9359
NPI assigned
Sep 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Jay Patel
Title
Board of Directors
Phone
(917) 893-0242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

107 Taylortown Rd
Boonton, NJ 07005-8906

Mailing address

107 Taylortown Rd
Boonton, NJ 07005-8906

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1063248383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TAYLORTOWN RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TAYLORTOWN RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058906",
            "telephone_number": "848-228-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED DATA SCIENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "917-893-0242"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.