NPIMap

Organization Active NPI

Energy Zone Wellness Center LLC

  • Physical Therapy Clinic/Center
  • Cliffside Park, NJ
National Provider Identifier
1205389343
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
18KT00995800 Issued in NJ
Legal business name
ENERGY ZONE WELLNESS CENTER LLC
Practice address
700 Palisadium Dr
Cliffside Park, NJ 07010-3239
Phone
(201) 366-4837
NPI assigned
Jul 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Ms. Svetlana Rybina
Title
General Manager
Phone
(201) 366-4837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 18KT00995800 NJ Primary

Addresses

Primary practice location

700 Palisadium Dr
Cliffside Park, NJ 07010-3239

Mailing address

700 Palisadium Dr
Cliffside Park, NJ 07010-3239
Phone (201) 366-4837

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1205389343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PALISADIUM DR",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103239",
            "telephone_number": "201-366-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PALISADIUM DR",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103239",
            "telephone_number": "201-366-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGY ZONE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "RYBINA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "201-366-4837",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "18KT00995800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.