Friends PM&R Professional Corporation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MB08207400 Issued in NJ

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Locations

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": []
}

• Cecilia Micaela Freire, PSYD
• Edith Freire
• Fresenius Medical Care Hoboken, LLC
• Lindsay Friedman, CCC-SLP
• Nicole Chae Friedman, AUD
• Dominic J. Frio, D.C.
• Lisa A. Frisbie-Teel, D.D.S.
• Valerie J Fuller, LCSW
• Mariel Cristina Furstner, LCSW
• Ami Gadhia, DMD

• Physical Medicine & Rehabilitation Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• 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.

Verify at the official NPI Registry.