Healthcare Provider Details
I. General information
NPI: 1629931266
Provider Name (Legal Business Name): TOP NOTCH PERFORMANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
764 NEW BRIDGE ROAD UNITS 4 & 5
TEANECK NJ
07666-2227
US
IV. Provider business mailing address
586 LARCH AVE
SADDLE BROOK NJ
07663-4909
US
V. Phone/Fax
- Phone: 201-321-7131
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TYLER
VAN BENSCHOTEN
Title or Position: OWNER
Credential:
Phone: 201-321-7131