Jag Pediatric Therapy

LBN: Jag Pediatric Therapy
Jag Pediatric Therapy is an health care organization with primary practice located at 622 Eagle Rock Ave , West Orange NJ 07052-2994. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Jag Pediatric Therapy can be contacted via phone (973) 669-0072, or through Boules, Sandy via phone (973) 477-6045.

Contact Information

Primary practice address
622 Eagle Rock Ave West Orange NJ 07052-2994
Phone: (973) 669-0072
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boules, Sandy
Phone: (973) 477-6045

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1013255827
LBN Legal business name Jag Pediatric Therapy
DBA Doing business as
Authorized official Boules, Sandy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2013
Last updated Jan 29th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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