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500 Ave At Port Imperial Blvd, Suite B, Weehawken, NJ 07086-6960 | |
| (201) 721-6130 | |
| (201) 918-6864 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 500 Ave At Port Imperial Blvd, Weehawken, 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 |
|---|---|---|---|
| 1679019996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Benjamin Gertzog |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730631433 PECOS PAC ID: 9436439338 Enrollment ID: I20161212001704 |
| Provider Name | Tony Emadzadeh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477102663 PECOS PAC ID: 5395076178 Enrollment ID: I20191009000489 |
| Provider Name | Paige Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598372955 PECOS PAC ID: 0648699835 Enrollment ID: I20201008000965 |
| Provider Name | Alexandra Wood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326606872 PECOS PAC ID: 9032445515 Enrollment ID: I20201209003304 |
| Provider Name | Moura Ibrahim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497438287 PECOS PAC ID: 8224492244 Enrollment ID: I20230911000015 |
| Provider Name | Kristina Mueller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346928967 PECOS PAC ID: 3375991045 Enrollment ID: I20231120001340 |
| Provider Name | Amanda Angulo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881477040 PECOS PAC ID: 3678007275 Enrollment ID: I20241105001470 |
| Provider Name | Kristyn Batta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790509677 PECOS PAC ID: 9032645189 Enrollment ID: I20241212000875 |
| Mailing Address | Practice Location Address |
|---|---|
500 Ave At Port Imperial Blvd Ste B, Weehawken, NJ 07086-6960 Ph: (201) 272-9400 | 500 Ave At Port Imperial Blvd, Suite B, Weehawken, NJ 07086-6960 Ph: (201) 721-6130 |
Elizabeth Mancini, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086 Phone: 201-272-9400 | |
Douglas Wallace, Physical Therapist Medicare: Medicare Enrolled Practice Location: 36 Hudson Pl, Weehawken, NJ 07086 Phone: 201-522-6474 | |
Jaclyn H Fulop, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086 Phone: 201-272-9400 Fax: 201-272-9402 | |
Andrew Pearson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4100 Park Ave Ste 8b, Weehawken, NJ 07086 Phone: 201-271-0800 | |
Tony Emadzadeh, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086 Phone: 201-272-9400 | |
Pallavi Shah, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 359 Park Ave, Weehawken, NJ 07086 Phone: 703-944-4257 | |
One Hudson Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 359 Park Ave, Weehawken, NJ 07086 Phone: 703-944-4257 |