New Era Rehabilitation Center, INC
Clinic/Center, Methadone Clinic in Bridgeport, Connecticut
1255372108- Practice location
- 4675 Main Street, Bridgeport, CT 06606-2864
- Phone
- 203-344-0025
- Fax
- 203-374-7515
- Last updated
- May 12, 2021
New Era Rehabilitation Center, INC is a healthcare organization based in Bridgeport, CT. New Era Rehabilitation Center, INC practices in Bridgeport, CT. The NPI Number for New Era Rehabilitation Center, INC is 1255372108 and holds a License No. 0266 (CT). The current practice location address for New Era Rehabilitation Center, INC is 4675 Main Street, Bridgeport, CT 06606-2864 and can be reached out via phone at 203-344-0025 and via fax at 203-374-7515.
Provider Profile Details
- NPI Number
- 1255372108
- Provider Name
- New Era Rehabilitation Center, INC
- Provider Entity Type
- Organization
- Address
- 4675 Main Street, Bridgeport, CT 06606-2864
- Phone Number
- 203-344-0025
- Fax Number
- 203-374-7515
- Primary Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X
- Organization Subpart
- No
- Authorized Official
- Mr. Ebenezer Adekunle Kolade, MD · Executive Director · 203-562-2101
- Provider Enumeration Date
- June 10, 2006
- Last Update Date
- May 12, 2021
- Certification Date
- May 12, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4675 Main Street
Bridgeport, CT 06606-2864 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06606-2864
- Phone Number
- 203-344-0025
- Fax Number
- 203-374-7515
Provider Business Mailing Address Details
- Address
- 4675 Main Street
Bridgeport, CT 06606-2864 - City
- Bridgeport
- State
- CT
- Zip
- 06606-2864
- Phone Number
- 203-344-0025
- Fax Number
- 203-374-7515
License Information
- License Number (1)
- 0266
- License State (1)
- CT
- Taxonomy (1)
- Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) · 261QR0401X
- License Number (2)
- 042947
- License State (2)
- CT
- Taxonomy (2)
- Neuromusculoskeletal Medicine & OMM · 204D00000X
- License Number (3)
- 042947
- License State (3)
- CT
- Taxonomy (3)
- Family Medicine, Addiction Medicine · 207QA0401X
- License Number (4)
- 040029
- License State (4)
- CT
- Taxonomy (4)
- Internal Medicine, Addiction Medicine · 207RA0401X
- Taxonomy (5)
- Clinic/Center, Adult Mental Health · 261QM0850X
- License Number (6)
- 0266
- License State (6)
- CT
- Taxonomy (6)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- License Number (7)
- 0266
- License State (7)
- CT
- Taxonomy (7)
- Clinic/Center, Methadone Clinic · 261QM2800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 New Era Rehabilitation Center, INC?
The NPI number of New Era Rehabilitation Center, INC is 1255372108. It was assigned on June 10, 2006 and is currently active in the NPPES registry.
What is the specialty of New Era Rehabilitation Center, INC?
New Era Rehabilitation Center, INC is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X), licensed in CT under license number 0266.
Where does New Era Rehabilitation Center, INC practice?
The practice location is 4675 Main Street, Bridgeport, CT 06606-2864. The office can be reached at 203-344-0025 (phone) or 203-374-7515 (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 1255372108 directly on the NPPES registry website.