Basic Information
| Provider Information | |||||||||
| NPI: | 1447628581 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEALTH & FITNESS PROFESSIONALS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1740 E 2ND ST | ||||||||
| Address2: | |||||||||
| City: | SCOTCH PLAINS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070761708 | ||||||||
| CountryCode: | US | ||||||||
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| FaxNumber: | 7328131565 | ||||||||
| Practice Location | |||||||||
| Address1: | 1744 E 2ND ST | ||||||||
| Address2: | |||||||||
| City: | SCOTCH PLAINS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070761708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9083129340 | ||||||||
| FaxNumber: | 9083221120 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/07/2015 | ||||||||
| LastUpdateDate: | 07/06/2020 | ||||||||
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| AuthorizedOfficialLastName: | BASINGER | ||||||||
| AuthorizedOfficialFirstName: | SEAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9084275233 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| NPICertificationDate: | 07/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2081P2900X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine | 2086S0129X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery | 208VP0014X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | 332B00000X | N | Suppliers | Durable Medical Equipment & Medical Supplies | 363L00000X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 111N00000X | NJ | N | 193200000X MULTI-SPECIALTY GROUP | Chiropractic Providers | Chiropractor | 171100000X | NJ | N | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Acupuncturist | 207XS0117X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | 2251S0007X | NJ | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports |
No ID Information.