First Class Physical Therapy (NJ), PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00840600 Issued in NJ

Legal business name

FIRST CLASS PHYSICAL THERAPY (NJ), PC

Practice address

124 Gregory Ave
Passaic, NJ 07055-4856

Phone

(347) 462-4876

NPI assigned

Jun 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Pavel Khromchenko, DPT

Title

Medical Director

Phone

(347) 462-4876

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1629416599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HEDGEROW LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077267905",
            "telephone_number": "347-462-4876",
            "fax_number": "347-435-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GREGORY AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554856",
            "telephone_number": "347-462-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLASS PHYSICAL THERAPY (NJ), PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "KHROMCHENKO",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-462-4876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00840600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE NUMBER",
            "identifier": "40QA00840600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simon Y Feuerman, PSYD, LCSW
• Sara Veronica Figueroa, LCSW
• Yifat Finkelstein
• First Care Providers, LLC
• First Class Medical Transportation
• Kathleen Fisher, LSW, LPC, ACS
• Jessica Veronica Fittipaldi, LAT, ATC
• Alexander Fleischer, LCSW
• Ilan Fleisher, MD
• Oleg Fomitchev, MD

• Physical Therapist in Passaic, NJ
• Providers in Passaic, 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 Aug 9, 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.