1922424977 NPI number — BHUMIKA MALHOTRA PHYSICAL THERAPIST

Table of content: BHUMIKA MALHOTRA PHYSICAL THERAPIST (NPI 1922424977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922424977 NPI number — BHUMIKA MALHOTRA PHYSICAL THERAPIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MALHOTRA
Provider First Name:
BHUMIKA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHYSICAL THERAPIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MALHOTRA
Provider Other First Name:
BHUMIKA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHYSICAL THERAPIST
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1922424977
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/14/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 5TH ST
Provider Second Line Business Mailing Address:
JERSEY CITY
Provider Business Mailing Address City Name:
JERSEY CITY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07302-2401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-541-5915
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1213 AVENUE P
Provider Second Line Business Practice Location Address:
ALL CARE PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
BROOKYLN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-339-6885
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  034202 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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