SEABROOK VILLAGE INC NPI 1144272311

NPI Information

NPI: 1144272311
Provider Name: SEABROOK VILLAGE, INC

Doing Business As: OUTPATIENT REHABILITATION AGENCY AT SEABROOK VILLAGE

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
3004 ESSEX ROAD
ATTN: REHABILITATION MANAGER
TINTON FALLS, NJ
ZIP 07753
Phone: (732) 643-1200
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SEABROOK VILLAGE, INC is a rehabilitation clinic center in Tinton Falls, NJ. SEABROOK VILLAGE, INC NPI is 1144272311. The provider is registered as an organization entity type.
The provider Is Doing Business As Outpatient Rehabilitation Agency At Seabrook Village.

The provider's business location address is:

3004 ESSEX ROAD
ATTN: REHABILITATION MANAGER
TINTON FALLS, NJ
ZIP 07753-000
Phone: (732) 643-1200
Fax: (410) 204-7237

The provider's authorized official is Christopher J Rathmann .
The authorized official title is Assistant Treasurer and has the following contact phone number (410) 402-2390.

The CLIA number assigned to this NPI record is 31D2157523 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 10/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	316702	MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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