Healthcare Provider Details

I. General information

NPI: 1659232882
Provider Name (Legal Business Name): ELIE KUHNE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 PLEASANT VALLEY WAY
WEST ORANGE NJ
07052-1424
US

IV. Provider business mailing address

200 DAVEY ST APT D
BLOOMFIELD NJ
07003-6134
US

V. Phone/Fax

Practice location:
  • Phone: 973-414-4755
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02382900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: