Basic Information
| Provider Information | |||||||||
| NPI: | 1134490881 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | NUNYA HEALTH GROUP LLP | ||||||||
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| OtherOrganizationName: | EXCHANGE PHYSICAL THERAPY GROUP | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31 MONTGOMERY ST | ||||||||
| Address2: | SUITE 4 | ||||||||
| City: | JERSEY CITY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 073023869 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2017216130 | ||||||||
| FaxNumber: | 2019186864 | ||||||||
| Practice Location | |||||||||
| Address1: | 31 MONTGOMERY ST | ||||||||
| Address2: | SUITE 4 | ||||||||
| City: | JERSEY CITY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 073023869 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2017216130 | ||||||||
| FaxNumber: | 2019186864 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2012 | ||||||||
| LastUpdateDate: | 02/08/2018 | ||||||||
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| AuthorizedOfficialLastName: | FULOP | ||||||||
| AuthorizedOfficialFirstName: | JACLYN | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICAL THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 2017216130 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 40QA01631400 | NJ | N | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 40QA01352600 | NJ | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.