# INTEL PT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275449944
- **Authorized official:** DR. JAY TAN DPT (PRESIDENT)
- **Authorized official phone:** (510) 456-8747

## Contact information

- **Practice address:** 185 COOMBS DR, PARAMUS, NJ 07652-4434
- **Practice address phone:** (510) 456-8747
- **Mailing address:** 185 COOMBS DR, PARAMUS, NJ 07652-4434
- **Mailing address phone:** (510) 456-8747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2026
- **Last updated:** 08/21/2026