Healthcare Provider Details

I. General information

NPI: 1932926219
Provider Name (Legal Business Name): HEALING JOINTS OF EDISON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1817 OAK TREE RD STE A
EDISON NJ
08820-2791
US

IV. Provider business mailing address

359 N BEVERWYCK RD
PARSIPPANY NJ
07054-1539
US

V. Phone/Fax

Practice location:
  • Phone: 732-662-1874
  • Fax: 732-662-1785
Mailing address:
  • Phone: 973-588-5800
  • Fax: 973-588-5801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: PURVI PITHWA
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT
Phone: 732-910-8585