Provider Demographics
NPI:1356711675
Name:TOP CHOICE MEDICAL LLC
Entity type:Organization
Organization Name:TOP CHOICE MEDICAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:201-348-0200
Mailing Address - Street 1:515 22ND ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-3531
Mailing Address - Country:US
Mailing Address - Phone:201-348-0200
Mailing Address - Fax:
Practice Address - Street 1:515 22ND ST
Practice Address - Street 2:SUITE 1
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-3531
Practice Address - Country:US
Practice Address - Phone:201-348-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01102600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty