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

New Jersey Physical Medicine & Rehabilitation Institute PA

Organization Physical Medicine & Rehabilitation Physician · NPI 1821210261

New Jersey Physical Medicine & Rehabilitation Institute PA is a Physical Medicine & Rehabilitation Physician in Fort Lee, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2050 Center Ave Ste 425
Fort Lee, NJ 07024-4911
Phone: (201) 261-1000
Fax: (201) 261-1188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 25MA07929700 (NJ)

Record details

NPI number1821210261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mira Shin — Ceo · (201) 261-1000
NPI enumeratedMay 3, 2007
Last updated in NPPESFebruary 5, 2016
Mailing address2050 Center Ave, Ste 425, Fort Lee, NJ 07024-4911

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