Active NPI
Friends PM&R Professional Corporation
- Physical Medicine & Rehabilitation Physician
- Hoboken, NJ
National Provider Identifier
1174887889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 25MB08207400
- Legal business name
- FRIENDS PM&R PROFESSIONAL CORPORATION
- Practice address
- 89 River St
#1606
Hoboken, NJ 07030-9600 - Phone
- (917) 412-3423
- NPI assigned
- Jun 27, 2012
- Last updated
- Aug 14, 2012
- 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
- Yogini Mavani, DO
- Title
- Owner
- Phone
- (917) 412-3423
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MB08207400 | NJ | Primary |
Addresses
Primary practice location
89 River St
#1606
Hoboken, NJ 07030-9600
Mailing address
89 River St
#1606
Hoboken, NJ 07030-9600
National Provider Directory
National Provider DirectoryLocations
89 River St
Unit 1606
Hoboken, NJ 07030
Phone (917) 412-3423
Practitioners & 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.
-
- Physical Medicine & Rehabilitation Physician
- Hoboken, NJ
- NPI 1326233040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344902400000",
"number": "1174887889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 RIVER ST",
"address_2": "#1606",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070309600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 RIVER ST",
"address_2": "#1606",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070309600",
"telephone_number": "917-412-3423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDS PM&R PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-27",
"last_updated": "2012-08-14",
"status": "A",
"authorized_official_last_name": "MAVANI",
"authorized_official_first_name": "YOGINI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-412-3423",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MB08207400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.