HUDSON THERAPY LLC NPI 1215933775

NPI Information

NPI: 1215933775
Provider Name: HUDSON THERAPY, LLC

Doing Business As: THERAPRO, LLC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
9225 KENNEDY BLVD
NORTH BERGEN, NJ
ZIP 07047
Phone: (201) 869-2707
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HUDSON THERAPY, LLC is a multi-specialty clinic center in North Bergen, NJ. HUDSON THERAPY, LLC NPI is 1215933775. The provider is registered as an organization entity type.
The provider Is Doing Business As Therapro, Llc.

The provider's business location address is:

9225 KENNEDY BLVD
NORTH BERGEN, NJ
ZIP 07047-361
Phone: (201) 869-2707
Fax: (201) 869-2717

The provider's authorized official is Spencer Jason Malkin .
The authorized official title is Ceo and has the following contact phone number (917) 815-2299.

The CLIA number assigned to this NPI record is 31D2183892 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 1/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	22872	NEW JERSEY	No
2	261QM1300X	Clinic/Center	Multi-Specialty	063647	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	063647	MEDICARE PIN	NEW JERSEY
2	314507	MEDICARE OSCAR/CERTIFICATION	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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