Pediatric Rehabilitation Of North Jersey PC
Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Wayne, New Jersey
1396897773- Practice location
- 309 Black Oak Ridge RD, Wayne, NJ 07470-6504
- Phone
- 973-628-1300
- Fax
- 973-628-0300
- Last updated
- March 18, 2014
Pediatric Rehabilitation Of North Jersey PC is a healthcare organization based in Wayne, NJ. Pediatric Rehabilitation Of North Jersey PC practices in Wayne, NJ. The NPI Number for Pediatric Rehabilitation Of North Jersey PC is 1396897773 and holds a License No. 40QA00794200 (NJ). The current practice location address for Pediatric Rehabilitation Of North Jersey PC is 309 Black Oak Ridge RD, Wayne, NJ 07470-6504 and can be reached out via phone at 973-628-1300 and via fax at 973-628-0300.
Provider Profile Details
- NPI Number
- 1396897773
- Provider Name
- Pediatric Rehabilitation Of North Jersey PC
- Provider Entity Type
- Organization
- Address
- 309 Black Oak Ridge RD, Wayne, NJ 07470-6504
- Phone Number
- 973-628-1300
- Fax Number
- 973-628-0300
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) · 261QR0401X
- Organization Subpart
- No
- Authorized Official
- Mrs. Marissa M Muccio, PT · President · 973-628-1300
- Provider Enumeration Date
- January 17, 2007
- Last Update Date
- March 18, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 309 Black Oak Ridge RD
Wayne, NJ 07470-6504 - City
- Wayne
- State
- New Jersey
- Zip
- 07470-6504
- Phone Number
- 973-628-1300
- Fax Number
- 973-628-0300
Provider Business Mailing Address Details
- Address
- 309 Black Oak Ridge RD
Wayne, NJ 07470-6504 - City
- Wayne
- State
- NJ
- Zip
- 07470-6504
- Phone Number
- 973-628-1300
- Fax Number
- 973-628-0300
License Information
- License Number
- 40QA00794200
- License State
- NJ
- Taxonomy
- Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) · 261QR0401X · 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 Pediatric Rehabilitation Of North Jersey PC?
The NPI number of Pediatric Rehabilitation Of North Jersey PC is 1396897773. It was assigned on January 17, 2007 and is currently active in the NPPES registry.
What is the specialty of Pediatric Rehabilitation Of North Jersey PC?
Pediatric Rehabilitation Of North Jersey PC is registered under the primary taxonomy Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (code 261QR0401X), licensed in NJ under license number 40QA00794200.
Where does Pediatric Rehabilitation Of North Jersey PC practice?
The practice location is 309 Black Oak Ridge RD, Wayne, NJ 07470-6504. The office can be reached at 973-628-1300 (phone) or 973-628-0300 (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 1396897773 directly on the NPPES registry website.