Practx Medical Solutions, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PRACTX MEDICAL SOLUTIONS, LLC

Practice address

1184 Richmond Rd
Mahwah, NJ 07430-3241

Phone

(561) 504-5920

NPI assigned

Apr 5, 2018

Organization subpart

No

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

Authorized official

Name

Tracey Vizzini

Title

President

Phone

(561) 504-5920

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1215433438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074300320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 RICHMOND RD",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303241",
            "telephone_number": "561-504-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTX MEDICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "VIZZINI",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-504-5920"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Dianne Pedersen, OTR
• Kimberly Perez-Lucero
• Bruce J Pines, D.D.S.
• Ryan Marc Pines, DDS
• Nicole Potenza
• Premise Health of New Jersey Medical PC
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Peter J Raia Jr., RPH
• Deepika Rajagopalan

• Multi-Specialty Clinic/Center in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Multi-Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.