Palisades Rehab and Physical Therapy Center, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01109800 Issued in NJ

Legal business name

PALISADES REHAB AND PHYSICAL THERAPY CENTER, LLC

Practice address

596 Anderson Ave
108
Cliffside Park, NJ 07010-1831

Phone

(201) 941-3939

NPI assigned

Jan 6, 2016

Last updated

Sep 23, 2016By 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

Mr. Andres Duran-Cabrera

Title

Manager

Phone

(201) 941-3939

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1932565983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE",
            "address_2": "108",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101831",
            "telephone_number": "201-941-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE",
            "address_2": "108",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101831",
            "telephone_number": "201-941-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES REHAB AND PHYSICAL THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "DURAN-CABRERA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-941-3939",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01109800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "423843",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Onorato
• Yassam Tiffany Osbourne, REGISTERED NURSE
• OT Steps LLC
• Maria Isabel Pachon Romero, MD
• Anagha A Padmawar, D.D.S
• Palisades Rehab and Spinal Care Group,
• Palisades Urgent Care, LLC
• Jalpa Patel, DPT
• Upasna Patel, P.T
• Carmen Frida Pena Pujals, DDS

• Physical Therapy Clinic/Center in Cliffside Park, NJ
• Providers in Cliffside Park, 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 Sep 23, 2016; 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.