FAITH ESSENCE SMASH


Address: 169 Paris Ave, Northvale, NJ 07647-2028
Phone: 2015647861

FAITH ESSENCE SMASH (NPI# 1295246510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295246510
Entity Type Individual
Full Name FAITH ESSENCE SMASH
Credential LMT
Practice Address 169 Paris Ave
Northvale
NJ 07647-2028
Practice Telephone 2015647861
Mailing Telephone 2015647861
Enumeration Date 2017-10-12
Last Update Date 2017-10-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 204C00000X Neuromusculoskeletal Medicine, Sports Medicine 18KT00649900 NJ Allopathic & Osteopathic Physicians
N 204D00000X Neuromusculoskeletal Medicine & OMM 18KT00649900 NJ Allopathic & Osteopathic Physicians
N 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
18KT00649900 NJ Allopathic & Osteopathic Physicians
Y 261QP3300X Clinic/Center
Specialization: Pain
18KT00649900 NJ Ambulatory Health Care Facilities
N 2081N0008X Physical Medicine & Rehabilitation
Specialization: Neuromuscular Medicine
18KT00649900 NJ Allopathic & Osteopathic Physicians
N 2084N0008X Psychiatry & Neurology
Specialization: Neuromuscular Medicine
18KT006499 NJ Allopathic & Osteopathic Physicians

Office Location

Street Address 169 PARIS AVE
City NORTHVALE
State NJ
Zip Code 07647-2028

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1356553028 Company Medical Associates General Practice 160 Paris Avenue, Suite 1, Northvale, NJ 07647 2007-05-04
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1215093182 County of Bergen Nj Skilled Nursing Facility 35 Piermont Rd, Rockleigh, NJ 07647 2006-12-28
1649367129 Shilpa Ashok Patel Pediatrics 22 Paris Ave, Suite 109, Rockleigh, NJ 07647 2006-10-06
1093731036 Thomas Matthew Donofrio Physical Therapist 595 Wildwood Rd W, Northvale, NJ 07647 2006-07-14
1669874939 Jacqueline Sperber Nurse Practitioner 269 Livingston St Ste A, Northvale, NJ 07647 2014-09-18
1750509485 Mary Kavanagh Registered Nurse 35d Piermont Road, Rockleigh, NJ 07647 2007-04-20
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Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

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1396235990 The Peace Within Spa & Clinic/Center 63 Beaverbrook Rd Ste 105, Lincoln Park, NJ 07035-1440 2018-05-18
1780174136 Edison Spine & Pain Center LLC Clinic/Center 940 Amboy Ave Ste 103, Edison, NJ 08837-2869 2018-05-11
1598279218 Spine Institute of North America LLC Clinic/Center 385 Cranbury Rd Ste 2, East Brunswick, NJ 08816-3000 2017-11-17
1245776582 Jennifer Arango Clinic/Center 139 77th St, North Bergen, NJ 07047-5836 2017-01-10
1457896003 Revive Spine and Pain Center Clinic/Center 515 South Broad St, Ste 201, Trenton, NJ 08611 2017-01-05
1043764269 Interventional Pain and Spine Institute Inc Clinic/Center 1907 Oak Tree Rd Ste 102, Edison, NJ 08820-2070 2016-08-04
1003279506 Advanced Spine and Pain Center LLC Clinic/Center 1060 Broad Street, Newark, NJ 07102 2016-04-01
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Competitor

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City NORTHVALE
Zip Code 07647

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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