Provider Demographics
NPI:1437332046
Name:NORTH JERSEY PHYSICAL THERAPY ASSOCIATES, INC.
Entity Type:Organization
Organization Name:NORTH JERSEY PHYSICAL THERAPY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:N
Authorized Official - Last Name:COTE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, CCTT
Authorized Official - Phone:908-852-7575
Mailing Address - Street 1:490 SCHOOLEYS MOUNTAIN RD
Mailing Address - Street 2:STE 3B
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-4002
Mailing Address - Country:US
Mailing Address - Phone:908-852-7575
Mailing Address - Fax:908-852-9083
Practice Address - Street 1:490 SCHOOLEYS MOUNTAIN RD
Practice Address - Street 2:STE 3B
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4002
Practice Address - Country:US
Practice Address - Phone:908-852-7575
Practice Address - Fax:908-852-9083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ032081Medicare PIN