Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrative Functional Medicine Associates LLC

Organization Spinal Cord Injury Medicine Physician · NPI 1063739829

Integrative Functional Medicine Associates LLC is a Spinal Cord Injury Medicine Physician in Montclair, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.

Licensed in
NJ
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

292 Bloomfield Ave 2nd Fl
Montclair, NJ 07042-3624
Phone: (973) 928-8909
Fax: (201) 967-8425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Spinal Cord Injury Medicine Physician (primary) Taxonomy 2081P0004X · Licence 25MA07295900 (NJ)

Record details

NPI number1063739829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodi Thomas — Md · (201) 967-8425
NPI enumeratedMay 3, 2010
Last updated in NPPESMay 3, 2010
Mailing address41 Watchung Plz, Suite 345, Montclair, NJ 07042-4117