NPIMap

Organization Active NPI

Physical Medicine of New Jersey LLC

  • Physical Medicine & Rehabilitation Physician
  • Paterson, NJ
National Provider Identifier
1316280837
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA07379000 Issued in NJ
Legal business name
PHYSICAL MEDICINE OF NEW JERSEY LLC
Practice address
234 McLean Blvd
Paterson, NJ 07504-1021
Phone
(973) 523-5252
Fax
(973) 523-5246
NPI assigned
Apr 3, 2013
Last updated
May 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Aimee Hetzer
Title
Office Manager
Phone
(973) 523-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 25MA07379000 NJ Primary

Addresses

Primary practice location

234 McLean Blvd
Paterson, NJ 07504-1021

Mailing address

234 McLean Blvd
Paterson, NJ 07504-1021
Phone (973) 523-5252

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1316280837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MCLEAN BLVD",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041021",
            "telephone_number": "973-523-5252",
            "fax_number": "973-523-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MCLEAN BLVD",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041021",
            "telephone_number": "973-523-5252",
            "fax_number": "973-523-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "HETZER",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-523-5252"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07379000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.