Healthcare Provider Details

I. General information

NPI: 1679127476
Provider Name (Legal Business Name): HOBOKEN PHYSICAL THERAPY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 MONROE ST
HOBOKEN NJ
07030-6957
US

IV. Provider business mailing address

133 MONROE ST
HOBOKEN NJ
07030-6957
US

V. Phone/Fax

Practice location:
  • Phone: 201-533-0000
  • Fax:
Mailing address:
  • Phone: 201-533-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. DREW NUSSBAUM
Title or Position: OWNER
Credential:
Phone: 410-271-4617