Davis Integrated Medicine LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA07295900 Issued in NJ

Legal business name

DAVIS INTEGRATED MEDICINE LLC

Practice address

309 Orange Rd
Montclair, NJ 07042-4451

Phone

(973) 839-1003

Fax

(973) 839-3653

NPI assigned

Mar 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jodi Thomas, MD

Title

Physican

Phone

(973) 839-1003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1417375338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ORANGE RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424451",
            "telephone_number": "973-839-1003",
            "fax_number": "973-839-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ORANGE RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424451",
            "telephone_number": "973-839-1003",
            "fax_number": "973-839-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS INTEGRATED MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "973-839-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07295900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andreia Dasilva, LCSW
• Ayana Najwa Dasilva, LCSW
• Michael Davidson, DMD
• Davis Chiropractic Center LLC
• Davis Integrated Medicine LLC
• John L Davis, MS, ATC
• Krystle M Davis
• Dawn Romeo LCSW,Lcadc,LLC
• Sandy Dawoud, PHD
• Louis Marcel Day, M.D.

• Physical Medicine & Rehabilitation Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.