Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PRIME
Active
Organization
PRIME
Active
Other names
Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MONA LISA LAO (OPERATION MANAGER)
(201) 936-2660
Entity
Organization
Contact information
Practice address
60 PARK PL STE 402, NEWARK, NJ 07102-5513
(973) 803-8130
Mailing address
32 CYPRESS ST, JERSEY CITY, NJ 07305-4869
(201) 936-2660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01062100
NJ
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up