Healthcare Provider Details

I. General information

NPI: 1326474081
Provider Name (Legal Business Name): PARAMUS ORTHOPEDIC PHYSICAL THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2013
Last Update Date: 09/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 FARVIEW TER
PARAMUS NJ
07652-2740
US

IV. Provider business mailing address

28 FARVIEW TER
PARAMUS NJ
07652-2740
US

V. Phone/Fax

Practice location:
  • Phone: 201-880-9810
  • Fax: 201-880-9812
Mailing address:
  • Phone: 201-880-9810
  • Fax: 201-880-9812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. MEIR BENJAMIN BURTON
Title or Position: OWNER
Credential: PT, DPT
Phone: 201-880-9810