Active NPI
Integrated Medicine & PT
- Physical Therapist
- Kinnelon, NJ
National Provider Identifier
1114384450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- INTEGRATED MEDICINE & PT
- Practice address
- 300 Kakeout Rd
Kinnelon, NJ 07405-2548 - Phone
- (973) 838-6252
- NPI assigned
- Jan 18, 2016
- Last updated
- Aug 29, 2016
- 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
- Dr. Paul Marston, DC
- Title
- Owner
- Phone
- (973) 838-6252
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | ||
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
300 Kakeout Rd
Kinnelon, NJ 07405-2548
Mailing address
300 Kakeout Rd
Kinnelon, NJ 07405-2548
Phone (973) 838-6252
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rehabilitation Chiropractor
- Kinnelon, NJ
- NPI 1659305290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472428800000",
"number": "1114384450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 KAKEOUT RD",
"city": "KINNELON",
"state": "NJ",
"postal_code": "074052548",
"telephone_number": "973-838-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 KAKEOUT RD",
"city": "KINNELON",
"state": "NJ",
"postal_code": "074052548",
"telephone_number": "973-838-6252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED MEDICINE & PT",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-18",
"last_updated": "2016-08-29",
"status": "A",
"authorized_official_last_name": "MARSTON",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-838-6252",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kinnelon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.