Dynamic Health Rehabilitation Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA07870200 Issued in NJ

Legal business name

DYNAMIC HEALTH REHABILITATION CENTER PC

Practice address

31-00 Broadway
1 St Floor
Fair Lawn, NJ 07410-3963

Phone

(201) 791-7771

Fax

(201) 791-7337

NPI assigned

Jun 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Grigory Health & Shtender, MD

Title

President

Phone

(201) 791-7771

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Agnieszka Golabek, A.P.N.

  • Adult Health Nurse Practitioner
  • Secaucus, NJ
  • NPI 1346628567
  NPD
• Jerold Howard Kaminsky, D.C.

  • Chiropractor
  • Oakland, NJ
  • NPI 1760569594
  NPD
• Aleksandr Martirosov, D.O.

  • Family Medicine Physician
  • Fair Lawn, NJ
  • NPI 1700931185
  NPD

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1588077705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31-00 BROADWAY",
            "address_2": "1 ST FLOOR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-791-7771",
            "fax_number": "201-791-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31-00 BROADWAY",
            "address_2": "1 ST FLOOR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103963",
            "telephone_number": "201-791-7771",
            "fax_number": "201-791-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH REHABILITATION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "SHTENDER",
        "authorized_official_first_name": "GRIGORY",
        "authorized_official_middle_name": "HEALTH &",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-791-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07870200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "25MA07870200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "113571274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Dworetzky, BCBA
• Ivrielle M Dworkis, CCC-SLP
• Michael Dworkis, NCC, LPC
• Gillian Dwyer
• Inna Dyadyuk, LSW
• Earlab Inc
• Jordanne Ebanks
• Nataly Ebid, LCSW
• Raysa J Echeverria, DC
• Edlira Gora

• Specialist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Specialist in New Jersey

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