Active NPI
Hudson Therapy, LLC
- Multi-Specialty Clinic/Center
- North Bergen, NJ
National Provider Identifier
1215933775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 063647
- Legal business name
- HUDSON THERAPY, LLC
- Practice address
- 9225 Kennedy Blvd
North Bergen, NJ 07047-5361 - Phone
- (201) 869-2707
- Fax
- (201) 869-2717
- NPI assigned
- Jun 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Spencer Jason Malkin, DC
- Title
- Ceo
- Phone
- (917) 815-2299
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 063647 | NJ | Primary |
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | 22872 | NJ |
Addresses
Primary practice location
9225 Kennedy Blvd
North Bergen, NJ 07047-5361
Mailing address
9225 Kennedy Blvd
North Bergen, NJ 07047-5361
Phone (201) 869-2707
Other names 1
- Therapro, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Hudson Therapy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Jersey City, NJ
- NPI 1114104643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200355200000",
"number": "1215933775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9225 KENNEDY BLVD",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070475361",
"telephone_number": "201-869-2707",
"fax_number": "201-869-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9225 KENNEDY BLVD",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070475361",
"telephone_number": "201-869-2707",
"fax_number": "201-869-2717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-21",
"last_updated": "2008-01-15",
"status": "A",
"authorized_official_last_name": "MALKIN",
"authorized_official_first_name": "SPENCER",
"authorized_official_middle_name": "JASON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-815-2299",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NJ",
"license": "063647",
"primary": true
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "NJ",
"license": "22872",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Therapro, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.