OrganizationActive
Integrative Functional Medicine Associates LLC
NPI 1063739829 · Spinal Cord Injury Medicine Physician · Montclair, NJ
Provider details
- NPI number
- 1063739829
- Entity type
- Organization
- Primary specialty
- Spinal Cord Injury Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jodi Thomas, MD(201) 967-8425
- License
- 25MA07295900 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
292 Bloomfield Ave
2nd Floor
Montclair, NJ 07042-3624
Phone: (973) 928-8909
Fax: (201) 967-8425
Approximate (ZIP-level) locationGet directions
Mailing address
41 Watchung Plz
Montclair, NJ 07042-4117
Registry dates
- Enumerated
- 2010-05-03
- Last updated
- 2010-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.