Active NPI
Paramount Rehabilitation LLC
- Physical Medicine & Rehabilitation Physician
- Fair Lawn, NJ
National Provider Identifier
1548634652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 40QA01528100
- Legal business name
- PARAMOUNT REHABILITATION LLC
- Practice address
- 16-00 Route 208 South
Suite 204
Fair Lawn, NJ 07410-2503 - Phone
- (201) 880-6207
- Fax
- (201) 880-6208
- NPI assigned
- Nov 30, 2015
- 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
- Dr. Eugene Gordon, PT, DPT
- Title
- Physical Therapist/Owner
- Phone
- (201) 880-6207
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 40QA01528100 | NJ | Primary |
Addresses
Primary practice location
16-00 Route 208 South
Suite 204
Fair Lawn, NJ 07410-2503
Mailing address
16-00 Route 208 South
Suite 204
Fair Lawn, NJ 07410-2503
Phone (201) 880-6207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16-00 Route 208
Ste 204
Fair Lawn, NJ 07410
Phone (201) 880-6207
350 W Passaic St
Ste 2
Rochelle Park, NJ 07662
Phone (201) 880-6207
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Wayne, NJ
- NPI 1558791673
-
- Orthopedic Physical Therapist
- Teaneck, NJ
- NPI 1609126556
-
- Adult Health Nurse Practitioner
- Nutley, NJ
- NPI 1760768477
-
- Acupuncturist
- Rochelle Park, NJ
- NPI 1588171318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583107200000",
"number": "1548634652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16-00 ROUTE 208 SOUTH",
"address_2": "SUITE 204",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074102503",
"telephone_number": "201-880-6207",
"fax_number": "201-880-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16-00 ROUTE 208 SOUTH",
"address_2": "SUITE 204",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074102503",
"telephone_number": "201-880-6207",
"fax_number": "201-880-6208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAMOUNT REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-30",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "EUGENE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "201-880-6207",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "40QA01528100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.