Provider Demographics
NPI:1295281699
Name:VARSHA POHUJA LLC
Entity type:Organization
Organization Name:VARSHA POHUJA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VARSHA
Authorized Official - Middle Name:MADAN
Authorized Official - Last Name:POHUJA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:732-233-1107
Mailing Address - Street 1:365 OCEAN BLVD UNIT 302
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-9332
Mailing Address - Country:US
Mailing Address - Phone:732-233-1107
Mailing Address - Fax:
Practice Address - Street 1:365 OCEAN BLVD UNIT 302
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6097
Practice Address - Country:US
Practice Address - Phone:732-233-1107
Practice Address - Fax:732-568-7108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-27
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X, 225X00000X
NJ40QA01080900261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty