| Next Level Legacy, Llc | |
|
8 Lackawanna Plz Ste A, Montclair, NJ 07042-3604 | |
| (973) 319-4015 | |
| Not Available |
| Full Name | Next Level Legacy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 8 Lackawanna Plz Ste A, Montclair, 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 |
|---|---|---|---|
| 1588396501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jerome W Yoo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215917547 PECOS PAC ID: 1557322732 Enrollment ID: I20041116000103 |
| Provider Name | David J Kwon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043526338 PECOS PAC ID: 7315129475 Enrollment ID: I20110310000362 |
| Provider Name | Pamela Kopfensteiner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699221176 PECOS PAC ID: 0143518316 Enrollment ID: I20161004002428 |
| Provider Name | Nicholas Dinesh Dass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659039998 PECOS PAC ID: 8224406723 Enrollment ID: I20221114002742 |
| Mailing Address | Practice Location Address |
|---|---|
| Next Level Legacy, Llc 306 Creek Park Dr, Cary, NC 27513-5648 Ph: (973) 319-4015 | Next Level Legacy, Llc 8 Lackawanna Plz Ste A, Montclair, NJ 07042-3604 Ph: (973) 319-4015 |
Ms. Barbara Carol Foley, P.T., F.P. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 232 Grove St, Montclair, NJ 07042 Phone: 973-746-9415 | |
Shaun Astorga, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15 Bloomfield Ave, Montclair, NJ 07042 Phone: 973-744-2770 | |
Ms. Laura Ann Crandall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 Park St, Montclair, NJ 07043 Phone: 973-744-8205 | |
Ms. Suzanne Goodman, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19 Elm St, Montclair, NJ 07042 Phone: 973-798-6800 Fax: 973-798-6801 | |
Professional Orthopedic And Sports Physical Therapy Of Nj, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 691 Bloomfield Ave, Montclair, NJ 07042 Phone: 973-893-5082 | |
David Kwon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 Bloomfield Ave, Lower Level, Montclair, NJ 07042 Phone: 973-744-2770 | |
Michael Joseph Habersaat, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Greenwood Ave, Montclair, NJ 07042 Phone: 973-746-2424 |