PHYSICAL MEDICINE AND REHABILITATION CENTER PA NPI 1831110469

NPI Information

NPI: 1831110469
Provider Name: PHYSICAL MEDICINE AND REHABILITATION CENTER PA
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization

CLIA Number: 31D2007250

Address:
500 GRAND AVE
STE 100
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 567-2277
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PHYSICAL MEDICINE AND REHABILITATION CENTER PA is a rehabilitation practitioner in Englewood, NJ. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. PHYSICAL MEDICINE AND REHABILITATION CENTER PA NPI is 1831110469. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 GRAND AVE
STE 100
ENGLEWOOD, NJ
ZIP 07631-968
Phone: (201) 567-2277

The provider's authorized official is Tracy Isaacs-pindus .
The authorized official title is Billing Manager and has the following contact phone number (201) 567-2277.

The CLIA number assigned to this NPI record is 31D2007250 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 6/9/2014.

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	225400000X	Rehabilitation Practitioner				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
1	W6L451	MEDICARE PIN	NEW YORK
2	526907	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
3	0552720001	MEDICARE NSC	NEW JERSEY

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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