Pillar of Light, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00379900 Issued in NJ

Legal business name

PILLAR OF LIGHT, INC

Practice address

37-03 Berdan Ave
Fair Lawn, NJ 07410-4229

Phone

(201) 797-8028

Fax

(201) 797-2676

NPI assigned

Jul 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Iris Goldshtrom, P.T.NPI 1871618769

Title

Physical Therapist

Phone

(201) 797-8028

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Iris Goldshtrom, PT

  • Physical Therapist
  • Fair Lawn, NJ
  • NPI 1871618769
  Authorized official Same address or phone

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902836240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37-03 BERDAN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104229",
            "telephone_number": "201-797-8028",
            "fax_number": "201-797-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37-03 BERDAN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104229",
            "telephone_number": "201-797-8028",
            "fax_number": "201-797-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILLAR OF LIGHT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSHTROM",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-797-8028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00379900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yumiko T Pestka, MSBA, BCBA
• Chelsea Petillo
• Kimberly Ann Petrolia
• Marilyn Sandra Pettinati, LCSW
• Valerie Pheanis, LCSW, MT-BC, CHN
• Pine Group LLC
• Kevin Pineda, DPT
• Pinelli Chiropractic Center
• Keith M Pinelli, DC
• Thomas L Pinelli, DC

• Physical Therapy Clinic/Center in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.