Active NPI
Haledon Physical Therapy II LLC.
- Physical Therapy Clinic/Center
- Haledon, NJ
National Provider Identifier
1386993137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.