Fair Lawn Spine & Joint Rehabilitation Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FAIR LAWN SPINE & JOINT REHABILITATION CENTER LLC

Practice address

19-21 Fair Lawn Ave Ste 1C
Fair Lawn, NJ 07410-2337

Phone

(201) 796-7772

NPI assigned

Mar 29, 2019

Organization subpart

No

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

Authorized official

Name

Mr. John E Cintineo, DC, DAAMLP

Title

Owner

Phone

(201) 796-7772

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1316408537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19-21 FAIR LAWN AVE STE 1C",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102337",
            "telephone_number": "201-796-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19-21 FAIR LAWN AVE STE 1C",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102337",
            "telephone_number": "201-796-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR LAWN SPINE & JOINT REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "CINTINEO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-796-7772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC, DAAMLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.