Provider Demographics
NPI:1588441232
Name:GET BACK TO HEALTH LLC
Entity type:Organization
Organization Name:GET BACK TO HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:IRA
Authorized Official - Last Name:SORKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APN
Authorized Official - Phone:609-902-7706
Mailing Address - Street 1:136 SAINT PAUL ST FL 1
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2145
Mailing Address - Country:US
Mailing Address - Phone:609-902-7607
Mailing Address - Fax:
Practice Address - Street 1:136 SAINT PAUL ST FL 1
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2145
Practice Address - Country:US
Practice Address - Phone:083-333-9889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty