Provider Demographics
NPI:1700014206
Name:HEALTH FIRST PHYSICAL THERAPY AND REHABILITATION CENTER
Entity Type:Organization
Organization Name:HEALTH FIRST PHYSICAL THERAPY AND REHABILITATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUJA
Authorized Official - Middle Name:K
Authorized Official - Last Name:JOSE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT
Authorized Official - Phone:973-632-1172
Mailing Address - Street 1:PO BOX 553
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-0553
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:350 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-4897
Practice Address - Country:US
Practice Address - Phone:973-632-1172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0400293116273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit