Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1962433524
Physical Medicine & Rehabilitation Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
15, Newark Avenue, Nutley, Essex County, New Jersey, 07110, United States
BELLEVILLE, NJ 071091123
Phone: (973) 482-1614
Fax: (973) 485-6126
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07109)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | NJ | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 36 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation, Interventional Pain Management, Sports Medicine, Pain Management | NJ | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | NJ | |
| Nurse Practitioner | NJ |
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