Active NPI
Millennium Physical Therapy III
- Physical Therapy Clinic/Center
- Mahwah, NJ
National Provider Identifier
1942550041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 40QA00333400
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.