Organization Active NPI

Haledon Physical Therapy II LLC.

  • Physical Therapy Clinic/Center
  • Haledon, NJ
National Provider Identifier
1386993137
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HALEDON PHYSICAL THERAPY II LLC.
Practice address
401 Haledon Ave
Haledon, NJ 07508-1570
Phone
(973) 689-6112
Fax
(973) 689-6114
NPI assigned
Sep 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Maher Qudah
Title
Owner
Phone
(973) 689-6112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

401 Haledon Ave
Haledon, NJ 07508-1570

Mailing address

401 Haledon Ave
Haledon, NJ 07508-1570
Phone (973) 689-6112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1386993137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HALEDON AVE",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081570",
            "telephone_number": "973-689-6112",
            "fax_number": "973-689-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HALEDON AVE",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081570",
            "telephone_number": "973-689-6112",
            "fax_number": "973-689-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEDON PHYSICAL THERAPY II LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "QUDAH",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-689-6112"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haledon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.