Provider Demographics
NPI:1023574514
Name:HUMBLE CARE PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:HUMBLE CARE PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PUMARADA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:908-527-6001
Mailing Address - Street 1:701 NEWARK AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-3560
Mailing Address - Country:US
Mailing Address - Phone:908-527-6001
Mailing Address - Fax:908-527-6634
Practice Address - Street 1:75 MONTGOMERY ST FL 501
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-3726
Practice Address - Country:US
Practice Address - Phone:201-433-6001
Practice Address - Fax:201-433-6634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-20
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy