Physical Medicine of New Jersey

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MA07379000 Issued in NJ

Legal business name

PHYSICAL MEDICINE OF NEW JERSEY

Practice address

234 McLean Blvd
Paterson, NJ 07504-1021

Phone

(973) 523-5252

Fax

(973) 523-5246

NPI assigned

Mar 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Riva L Kaynan, MD

Title

Owner

Phone

(973) 523-5252

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1982945606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MCLEAN BLVD",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041021",
            "telephone_number": "973-523-5252",
            "fax_number": "973-523-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MCLEAN BLVD",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041021",
            "telephone_number": "973-523-5252",
            "fax_number": "973-523-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "KAYNAN",
        "authorized_official_first_name": "RIVA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-523-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MA07379000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy on Main Inc
• Simi Ann Philip
• Philips Academy Charter School of Paterson
• Phoenix Physicians LLC
• Phylco, LTD
• Physical Medicine of New Jersey LLC
• Physical Therapy Home Services LLC
• Physical Therapy Institute of Paterson
• Chrismaily Sheribel Pichardo
• Norma Pichardo, APN

• General Practice Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.