Healthcare Provider Details

I. General information

NPI: 1013008580
Provider Name (Legal Business Name): PHYSICAL MEDICINE AND REHABILITATION SVCS OF HUDSON COUNTYP.A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 PALISADE AVE
JERSEY CITY NJ
07306-1133
US

IV. Provider business mailing address

142 PALISADE AVE
JERSEY CITY NJ
07306-1133
US

V. Phone/Fax

Practice location:
  • Phone: 201-656-3647
  • Fax:
Mailing address:
  • Phone: 201-656-3647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number33984
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number33984
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number33984
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number33984
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number33984
License Number StateNJ
# 6
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number33984
License Number StateNJ
# 7
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number33984
License Number StateNJ
# 8
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number33984
License Number StateNJ

VIII. Authorized Official

Name: DR. MONICA MEHTA
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 201-656-3647