Polaris Physical Medicine and Rehabilitation LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MB08261500 Issued in NJ

Legal business name

POLARIS PHYSICAL MEDICINE AND REHABILITATION LLC

Practice address

370 W Pleasantview Ave # 2-164
Hackensack, NJ 07601-8004

Phone

(201) 562-2203

NPI assigned

Nov 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Kuo, D.O.

Title

Owner

Phone

(201) 562-2203

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1174997621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 W PLEASANTVIEW AVE # 2-164",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018004",
            "telephone_number": "201-562-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W PLEASANTVIEW AVE # 2-164",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018004",
            "telephone_number": "201-562-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS PHYSICAL MEDICINE AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "KUO",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-562-2203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB08261500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of Northern, Central, and Southern New Jersey, Inc.
• Aviva Plittman, FNP
• Podiatric Foot and Ankle Surgeon, LLC
• Jeffrey John Podlaskowich, DNAP, CRNA
• Matthew Poland, PA-C
• Nancy Maria Polifroni, RN, APN. C
• Melvin S Polkow, MD
• Jacqueline Pollack, RD
• Gabrielle Nicole Pollara
• Natalia Patrycia Poltorak, PA-C

• Physical Medicine & Rehabilitation Physician in Hackensack, NJ
• Providers in Hackensack, 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 Nov 20, 2015; 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.