Organization Active NPI

Millennium Physical Therapy III

  • Physical Therapy Clinic/Center
  • Mahwah, NJ
National Provider Identifier
1942550041
Registry record updated Sep 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00333400 Issued in NJ
Legal business name
MILLENNIUM PHYSICAL THERAPY III
Practice address
300 Route 17
Suite G
Mahwah, NJ 07430-2141
Phone
(201) 529-8322
Fax
(201) 529-8377
NPI assigned
Sep 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2012

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

Authorized official

Name
Mr. Jeffrey Rose, P.T.
Title
Managing Partner
Phone
(201) 529-8322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA00333400 NJ Primary

Addresses

Primary practice location

300 Route 17
Suite G
Mahwah, NJ 07430-2141

Mailing address

300 Route 17
Suite G
Mahwah, NJ 07430-2141
Phone (201) 529-8322

National Provider Directory

National Provider Directory

Locations

300 Route 17
Ste G
Mahwah, NJ 07430
Phone (201) 529-8322

NPI Registry JSON

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

{
    "created_epoch": "1347667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347667200000",
    "number": "1942550041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ROUTE 17",
            "address_2": "SUITE G",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302141",
            "telephone_number": "201-529-8322",
            "fax_number": "201-529-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROUTE 17",
            "address_2": "SUITE G",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302141",
            "telephone_number": "201-529-8322",
            "fax_number": "201-529-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM PHYSICAL THERAPY III",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-15",
        "last_updated": "2012-09-15",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "201-529-8322",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00333400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2012; 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.