Provider Demographics
NPI:1659689131
Name:NEW ERA ORTHOPEDIC & SPORTS PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:NEW ERA ORTHOPEDIC & SPORTS PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-416-4800
Mailing Address - Street 1:40 UNION AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-3277
Mailing Address - Country:US
Mailing Address - Phone:973-416-4800
Mailing Address - Fax:973-416-4801
Practice Address - Street 1:40 UNION AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3277
Practice Address - Country:US
Practice Address - Phone:973-416-4800
Practice Address - Fax:973-416-4801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-19
Last Update Date:2010-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA05905002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty