Active NPIOrganization

Center For Cognitive Rehabilitation

Family Medicine, Addiction Medicine in Fair Haven, New Jersey

NPI Number1184703738
Practice location
403 River RD, Fair Haven, NJ 07704
Fax
732-842-7901
Last updated
June 18, 2008

Center For Cognitive Rehabilitation is a healthcare organization based in Fair Haven, NJ. Center For Cognitive Rehabilitation practices in Fair Haven, NJ. The NPI Number for Center For Cognitive Rehabilitation is 1184703738 and holds a License No. MA29119 (NJ). The current practice location address for Center For Cognitive Rehabilitation is 403 River RD, Fair Haven, NJ 07704 and can be reached out via phone at 732-842-6729 and via fax at 732-842-7901.

Provider Profile Details

NPI Number
1184703738
Provider Name
Center For Cognitive Rehabilitation
Provider Entity Type
Organization
Address
403 River RD, Fair Haven, NJ 07704
Phone Number
732-842-6729
Fax Number
732-842-7901
Primary Taxonomy
Family Medicine, Addiction Medicine · 207QA0401X
Organization Subpart
No
Authorized Official
Dr. John Paul Swidryk, MD · President Owner · 732-842-6729
Provider Enumeration Date
November 3, 2006
Last Update Date
June 18, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
403 River RD
Fair Haven, NJ 07704
Zip
07704
Phone Number
732-842-6729
Fax Number
732-842-7901
Fair Haven, NJ 07704Get directions →

Provider Business Mailing Address Details

Address
403 River RD
Fair Haven, NJ 07704
City
Fair Haven
State
NJ
Zip
07704
Phone Number
732-842-6729
Fax Number
732-842-7901

License Information

License Number
MA29119
License State
NJ
Taxonomy
Family Medicine, Addiction Medicine · 207QA0401X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Center For Cognitive Rehabilitation?

The NPI number of Center For Cognitive Rehabilitation is 1184703738. It was assigned on November 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Center For Cognitive Rehabilitation?

Center For Cognitive Rehabilitation is registered under the primary taxonomy Family Medicine, Addiction Medicine (code 207QA0401X), licensed in NJ under license number MA29119.

Where does Center For Cognitive Rehabilitation practice?

The practice location is 403 River RD, Fair Haven, NJ 07704. The office can be reached at 732-842-6729 (phone) or 732-842-7901 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184703738 directly on the NPPES registry website.

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