| Premier Health Center, P.c. | |
|
277 Prospect Ave Unit Lg, Hackensack, NJ 07601-2512 | |
| (201) 968-0303 | |
| (201) 968-0330 |
| Full Name | Premier Health Center, P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 277 Prospect Ave Unit Lg, Hackensack, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134170103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00576300 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | 40QA01062200 (New Jersey) | Primary |
| Provider Name | Phillip S Kim |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538294236 PECOS PAC ID: 9739146143 Enrollment ID: I20041228000324 |
| Provider Name | Melanie L Flores |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710125802 PECOS PAC ID: 1951436948 Enrollment ID: I20100316000589 |
| Provider Name | Miguel A Mayorga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538427331 PECOS PAC ID: 1557526159 Enrollment ID: I20120705000429 |
| Provider Name | Neetaben Mansukhbhai Khunt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023407731 PECOS PAC ID: 6204152465 Enrollment ID: I20150305001022 |
| Provider Name | Kristine Baltazar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629686191 PECOS PAC ID: 8527483627 Enrollment ID: I20200806002322 |
| Provider Name | Karen Ruiz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518507730 PECOS PAC ID: 4183037898 Enrollment ID: I20210119000403 |
| Provider Name | Anitha Valel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497324552 PECOS PAC ID: 4789086919 Enrollment ID: I20210712001039 |
| Provider Name | Anthony J Pontone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801554621 PECOS PAC ID: 4486044450 Enrollment ID: I20211206002254 |
| Provider Name | Nichole Vaiknoras |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306169115 PECOS PAC ID: 9032588090 Enrollment ID: I20221214000097 |
| Provider Name | Teresa V Chang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033310644 PECOS PAC ID: 3971626532 Enrollment ID: I20231106000074 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Center, P.c. 277 Prospect Ave Unit Lg, Hackensack, NJ 07601-2570 Ph: (201) 968-0303 | Premier Health Center, P.c. 277 Prospect Ave Unit Lg, Hackensack, NJ 07601-2512 Ph: (201) 968-0303 |
Gregory S Byers, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 Main St, Hackensack, NJ 07601 Phone: 201-488-0488 | |
Dr. Laurence Lim, DPT, OCS, CRED.MDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Prospect Ave, Hackensack, NJ 07601 Phone: 201-342-1404 | |
Dr. Christine Bernal Gonzales, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 433 Hackensack Ave, Hackensack, NJ 07601 Phone: 201-880-5930 | |
Christopher Lands, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25 Prospect Ave, Hackensack, NJ 07601 Phone: 201-343-2700 Fax: 201-343-2755 | |
Miss Franceah R Palencia, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28-32 Van Orden Place, Hackensack, NJ 07631 Phone: 201-621-0100 | |
Teresa V Chang, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 214 State St, Hackensack, NJ 07601 Phone: 201-968-1200 Fax: 201-968-1400 | |
Pius P Tawiah, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 170 Prospect Ave Ste 2, Hackensack, NJ 07601 Phone: 201-880-8303 Fax: 201-880-4893 |