Organization Active NPI

Hudson Therapy, LLC

  • Multi-Specialty Clinic/Center
  • North Bergen, NJ
National Provider Identifier
1215933775
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
063647 Issued in NJ
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

Updated by the provider on Jan 15, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hudson Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.