Millburn Physical Therapy Associates LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

40QA01465600 Issued in NJ

Legal business name

MILLBURN PHYSICAL THERAPY ASSOCIATES LLC

Practice address

25 E Willow St
Millburn, NJ 07041-1416

Phone

(973) 564-8878

NPI assigned

Jan 22, 2015

Last updated

Jan 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Goldfarb

Title

Owner

Phone

(973) 564-8878

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1225427644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WILLOW ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411416",
            "telephone_number": "973-564-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WILLOW ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411416",
            "telephone_number": "973-564-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBURN PHYSICAL THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "GOLDFARB",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-564-8878"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01465600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.