Provider Demographics
NPI:1013338631
Name:KINU INC
Entity Type:Organization
Organization Name:KINU INC
Other - Org Name:PERSONAL CARE PROFESSIONALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:POZHARSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-321-3884
Mailing Address - Street 1:935 RIVER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-2234
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:935 RIVER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-2234
Practice Address - Country:US
Practice Address - Phone:201-773-4644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-27
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00604100111N00000X
NJ25MA05458300208VP0000X
NJ40QA01075000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty