Healthcare Provider Details

I. General information

NPI: 1275441164
Provider Name (Legal Business Name): SIMPLY CENTERED PELVIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 NEWARK ST
HOBOKEN NJ
07030-4548
US

IV. Provider business mailing address

78 BOORAEM AVE
JERSEY CITY NJ
07307-2402
US

V. Phone/Fax

Practice location:
  • Phone: 201-305-0516
  • Fax:
Mailing address:
  • Phone: 201-305-0516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZA ETTER
Title or Position: OWNER
Credential: PT
Phone: 540-809-9256