Provider Demographics
NPI:1790967917
Name:ADVANCED PHYSICAL THERAPY OF CENTRAL JERSEY, INC
Entity Type:Organization
Organization Name:ADVANCED PHYSICAL THERAPY OF CENTRAL JERSEY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HAZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAJANLANGIT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-972-9233
Mailing Address - Street 1:74 ROUTE 9 NORTH
Mailing Address - Street 2:
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726
Mailing Address - Country:US
Mailing Address - Phone:732-972-9233
Mailing Address - Fax:732-972-8570
Practice Address - Street 1:74 ROUTE 9 NORTH
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726
Practice Address - Country:US
Practice Address - Phone:732-972-9233
Practice Address - Fax:732-972-8570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00679000261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy