MEDICARE: FORT LEE HEALTH CENTER PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	363LF0000X	Family Nurse Practitioner
3	363L00000X	Nurse Practitioner
4	111N00000X	Chiropractor

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	566239	OTHER	NJ	MEDICARE ID

General Provider Information

NPI Number	:	1770817082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT LEE HEALTH CENTER PC

Provider Business Mailing Address
First Line	:	1067 PALISADE AVE
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-6329
Country	:	US
Telephone Number	:	201-886-8184
Fax Number	:	201-886-8483

Provider Business Practice Location Address
First Line	:	1067 PALISADE AVE
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-6329
Country	:	US
Telephone Number	:	201-886-8184
Fax Number	:	201-886-8483

Authorized Official
Title or Position	:	PHYSICAL THERPIST
Name	:	LEONARD ZELTSER
Credential	:
Telephone Number	:	201-647-4023

Provider Enumeration Date	:	09/21/2009
Last Update Date	:	05/11/2026

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Directions to “FORT LEE HEALTH CENTER PC ” Practice Location

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