Empire Physical Medicine

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

EMPIRE PHYSICAL MEDICINE

Practice address

221 W Grand Ave Ste 201
Montvale, NJ 07645-1729

Phone

(845) 694-7570

Fax

(201) 945-8873

NPI assigned

Aug 12, 2024

Last updated

Aug 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Michael Wraith, DCNPI 1699816538

Title

Member

Phone

(914) 661-8444

Specialties & licenses 6

Addresses

Locations

Practitioners 4

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.

• Brian M Wraith, D.C.

  • Chiropractor
  • Fairview, NJ
  • NPI 1699816538
  NPD Authorized official
• Erline Boyer, LMT

  • Massage Therapist
  • Montvale, NJ
  • NPI 1518674480
  NPD
• Meijun Gao-Thorgersen, LMT

  • Massage Therapist
  • Montvale, NJ
  • NPI 1528751336
  NPD
• Katrina Elizabeth Martinez

  • Massage Therapist
  • Montvale, NJ
  • NPI 1295559904
  NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1518798511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W GRAND AVE STE 201",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451729",
            "telephone_number": "845-694-7570",
            "fax_number": "201-945-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W GRAND AVE STE 201",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451729",
            "telephone_number": "845-694-7570",
            "fax_number": "201-945-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "WRAITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "914-661-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dong Heon Oh DDS PC
• Anupama Doraiswamy, MD
• Ayla H Dunn, CPM
• Mary Elizabeth Dzibela, NTP
• Elements Psychological Services, LLC
• Empowered Pelvic Health LLC
• Empowered Pelvic Therapy LLC
• Enhance Dermatology, PC (Abeles Dermatology Aesthetic & Laser Arts)
• Everas Community Services, Inc.
• Gail Leslie Fabrikant, LCSW

• Interventional Pain Medicine Physician in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Interventional Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.