Provider Demographics
NPI:1538176318
Name:AVANT CARE PHYSICAL THERAPY P.A.
Entity type:Organization
Organization Name:AVANT CARE PHYSICAL THERAPY P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:BARBARA
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:201-712-9113
Mailing Address - Street 1:21 S SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2624
Mailing Address - Country:US
Mailing Address - Phone:201-712-9113
Mailing Address - Fax:201-712-9118
Practice Address - Street 1:21 S SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2624
Practice Address - Country:US
Practice Address - Phone:201-712-9113
Practice Address - Fax:201-712-9118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA009136002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ103755Medicare PIN