Physical Medicine Consultants, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

25MA07753800 Issued in NJ

Legal business name

PHYSICAL MEDICINE CONSULTANTS, LLC

Practice address

81 Northfield Ave
Suite 104
West Orange, NJ 07052-5342

Phone

(973) 325-0229

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Erica Nicola David, M.D.

Title

Medical Director

Phone

(973) 325-0229

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Rehabilitation and Wellness Center Doing business as

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1205090909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 NORTHFIELD AVE",
            "address_2": "SUITE 104",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525342",
            "telephone_number": "973-325-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 NORTHFIELD AVE",
            "address_2": "SUITE 104",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525342",
            "telephone_number": "973-325-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "NICOLA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-325-0229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": "25MA07753800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072770",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Rehabilitation and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn N. Philippe
• Salomon Philippe
• Maryan N Philips, D.O.
• Sofia Loreen Philogene, DPT
• Linda Huynh Phung
• Tamika Pickett
• Pierre Medical Group LLC
• Frantz Junior M. Pierre-Louis, M.D
• Esther Pierre, LSW
• Rachel Nora Pierre

• Rehabilitation Clinic/Center in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.