Provider Demographics
NPI:1588868673
Name:STERN, JOEL DANA (PT)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:DANA
Last Name:STERN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 RIDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1442
Mailing Address - Country:US
Mailing Address - Phone:201-259-9896
Mailing Address - Fax:
Practice Address - Street 1:891 RIDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1442
Practice Address - Country:US
Practice Address - Phone:201-259-9896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA055982251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics