| Airport Plaza Spine & Wellness Llc | |
|
1354 State Route 36, Hazlet, NJ 07730-1716 | |
| (732) 567-5477 | |
| Not Available |
| Full Name | Airport Plaza Spine & Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 1354 State Route 36, Hazlet, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881053197 | NPI | - | NPPES |
| Provider Name | Kavita Gupta |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1699745828 PECOS PAC ID: 6507769858 Enrollment ID: I20040308000214 |
| Provider Name | Maria Sheila Rasonabe Sto Domingo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790731370 PECOS PAC ID: 6709822117 Enrollment ID: I20050707000004 |
| Provider Name | Joseph Jimenez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437310448 PECOS PAC ID: 2062570526 Enrollment ID: I20081028000243 |
| Provider Name | Michael Craig Dobrow |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1952508087 PECOS PAC ID: 6507927381 Enrollment ID: I20081211000668 |
| Provider Name | Tithi Mitra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124266366 PECOS PAC ID: 0446401350 Enrollment ID: I20140210001148 |
| Provider Name | Jason Michael Brooks |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316205859 PECOS PAC ID: 6204138282 Enrollment ID: I20160107001890 |
| Provider Name | Grace L Umali |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174061055 PECOS PAC ID: 2961789664 Enrollment ID: I20170602000170 |
| Provider Name | Stephanie Gonyea-george |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417666025 PECOS PAC ID: 6103365424 Enrollment ID: I20240829003150 |
| Mailing Address | Practice Location Address |
|---|---|
| Airport Plaza Spine & Wellness Llc 1354 State Route 36, Hazlet, NJ 07730-1716 Ph: (732) 567-5477 | Airport Plaza Spine & Wellness Llc 1354 State Route 36, Hazlet, NJ 07730-1716 Ph: (732) 567-5477 |