Organization Active NPI

Teaneck Physical Therapy and Pain Management Inc

  • Rehabilitation Clinic/Center
  • Teaneck, NJ
National Provider Identifier
1316278500
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
PT4OQA0921200 Issued in NJ
Legal business name
TEANECK PHYSICAL THERAPY AND PAIN MANAGEMENT INC
Practice address
1182 Teaneck Rd
Suite 103
Teaneck, NJ 07666-4824
Phone
(862) 215-2159
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Sylbert Amil, PT
Title
Physical Therapist
Phone
(862) 215-2159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X PT4OQA0921200 NJ Primary

Addresses

Primary practice location

1182 Teaneck Rd
Suite 103
Teaneck, NJ 07666-4824

Mailing address

46 Memphis Ave
Belleville, NJ 07109-1939
Phone (862) 215-2159

National Provider Directory

National Provider Directory

Locations

1182 Teaneck Rd
Ste 103
Teaneck, NJ 07666
Phone (201) 357-2715

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1316278500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MEMPHIS AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091939",
            "telephone_number": "862-215-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 TEANECK RD",
            "address_2": "SUITE 103",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664824",
            "telephone_number": "862-215-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEANECK PHYSICAL THERAPY AND PAIN MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "AMIL",
        "authorized_official_first_name": "SYLBERT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "862-215-2159",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": "PT4OQA0921200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.