Provider Demographics
NPI:1811290042
Name:NORTH JERSEY PHYSICAL THERAPY INC.
Entity type:Organization
Organization Name:NORTH JERSEY PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HINZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-838-6122
Mailing Address - Street 1:121 RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9488
Mailing Address - Country:US
Mailing Address - Phone:973-809-1035
Mailing Address - Fax:973-838-2349
Practice Address - Street 1:121 RIDGE DR
Practice Address - Street 2:
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045-9488
Practice Address - Country:US
Practice Address - Phone:973-809-1035
Practice Address - Fax:973-838-2349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00695400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1891907291OtherNPI INDIVIDUAL
NJ027722Medicare UPIN