Organization Active NPI

Hudson Therapy, LLC

  • Multi-Specialty Clinic/Center
  • Jersey City, NJ
National Provider Identifier
1679658462
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
063647 Issued in NJ
Legal business name
HUDSON THERAPY, LLC
Practice address
600 Pavonia Ave
7TH Floor
Jersey City, NJ 07306-2929
Phone
(201) 418-0088
Fax
(201) 418-9420
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Spencer Jason Malkin
Title
Ceo
Phone
(917) 815-2299

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 063647 NJ Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 22936 NJ

Addresses

Primary practice location

600 Pavonia Ave
7TH Floor
Jersey City, NJ 07306-2929

Mailing address

600 Pavonia Ave
7TH Floor
Jersey City, NJ 07306-2929
Phone (201) 418-0088

Other names 1

  • Therapro, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

280 S Harrison St
Ste 200
East Orange, NJ 07018
Phone (973) 678-1600

600 Pavonia Ave
Ste 7
Jersey City, NJ 07306
Phone (201) 418-0088

9225 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 453-2800

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1679658462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PAVONIA AVE",
            "address_2": "7TH FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062929",
            "telephone_number": "201-418-0088",
            "fax_number": "201-418-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PAVONIA AVE",
            "address_2": "7TH FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062929",
            "telephone_number": "201-418-0088",
            "fax_number": "201-418-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "MALKIN",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-815-2299",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NJ",
            "license": "063647",
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NJ",
            "license": "22936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapro, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.