Optimal Health Group, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPTIMAL HEALTH GROUP, LLC

Practice address

164 W Central Ave
Bergenfield, NJ 07621-1236

Phone

(917) 400-9059

Fax

(201) 244-5180

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Glenn Gabriel, PT

Title

Owner

Phone

(917) 400-9059

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1578992004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W CENTRAL AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211236",
            "telephone_number": "917-400-9059",
            "fax_number": "201-244-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W CENTRAL AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211236",
            "telephone_number": "917-400-9059",
            "fax_number": "201-244-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-400-9059",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nagyla Obien, DPT
• April Rose Yap Oclaret
• Perseverance A Okai Adjetey
• One Bergen Health PC
• Optical Advantage PC
• Mabel Ore, RD
• James Earl Pagaduan, APN
• Michael S. Palance, O.D.
• Edilene F Panlilio, PHYSICAL THERAPIST
• James Park, DDS

• Physical Therapist in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.