Active NPI
Equilibrium, LLC
- Physical Therapist
- Fort Lee, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- EQUILIBRIUM, LLC
- Practice address
- 158 Linwood PLZ Ste 308
Fort Lee, NJ 07024-3704 - Phone
- (201) 461-9333
- Fax
- (201) 461-0851
- NPI assigned
- Nov 7, 2014
- Last updated
- Oct 30, 2023
- 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. David Park
- Title
- President
- Phone
- (201) 233-0223
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
158 Linwood PLZ Ste 308
Fort Lee, NJ 07024-3704
Mailing address
158 Linwood PLZ Ste 308
Fort Lee, NJ 07024-3704
Phone (201) 461-9333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
158 Linwood Plz
Ste 219
Fort Lee, NJ 07024
Phone (201) 233-0223
158 Linwood Plz
Ste 308
Fort Lee, NJ 07024
Phone (201) 461-9333
158 Linwood Plz
Ste 308310
Fort Lee, NJ 07024
Phone (201) 461-9333
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Fort Lee, NJ
- NPI 1689041659
-
- Physical Therapist
- Fort Lee, NJ
- NPI 1255972915
-
- Physical Therapist
- Fort Lee, NJ
- NPI 1659144095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698624000000",
"number": "1710383419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 LINWOOD PLZ STE 308",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070243704",
"telephone_number": "201-461-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 LINWOOD PLZ STE 308",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070243704",
"telephone_number": "201-461-9333",
"fax_number": "201-461-0851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EQUILIBRIUM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-07",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-233-0223",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.