Active NPIOrganization

Physical Medicine And Rehabilitation Center, PA

Specialist in Englewood, New Jersey

NPI Number1578517991
Practice location
500 Grand Ave, First Floor, Englewood, NJ 07631-4967
Fax
201-567-2639
Last updated
March 15, 2010

Physical Medicine And Rehabilitation Center, PA is a healthcare organization based in Englewood, NJ. Physical Medicine And Rehabilitation Center, PA practices in Englewood, NJ. The NPI Number for Physical Medicine And Rehabilitation Center, PA is 1578517991 and holds a License No. 25mb07455100 (NJ). The current practice location address for Physical Medicine And Rehabilitation Center, PA is 500 Grand Ave, First Floor, Englewood, NJ 07631-4967 and can be reached out via phone at 201-567-2277 and via fax at 201-567-2639.

Provider Profile Details

NPI Number
1578517991
Provider Name
Physical Medicine And Rehabilitation Center, PA
Provider Entity Type
Organization
Address
500 Grand Ave, First Floor, Englewood, NJ 07631-4967
Phone Number
201-567-2277
Fax Number
201-567-2639
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Dr. Sherry S Ghosh, DO · Doctor Of Osteopathic Medicine · 201-567-2277
Provider Enumeration Date
May 20, 2006
Last Update Date
March 15, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Grand Ave
First Floor
Englewood, NJ 07631-4967
Zip
07631-4967
Phone Number
201-567-2277
Fax Number
201-567-2639
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
500 Grand Ave
First Floor
Englewood, NJ 07631-4967
City
Englewood
State
NJ
Zip
07631-4967
Phone Number
201-567-2277
Fax Number
201-567-2639

License Information

License Number (1)
25mb07455100
License State (1)
NJ
License Number (2)
25mb07455100
License State (2)
NJ
Taxonomy (2)
Specialist · 174400000X · 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 Physical Medicine And Rehabilitation Center, PA?

The NPI number of Physical Medicine And Rehabilitation Center, PA is 1578517991. It was assigned on May 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Physical Medicine And Rehabilitation Center, PA?

Physical Medicine And Rehabilitation Center, PA is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25mb07455100.

Where does Physical Medicine And Rehabilitation Center, PA practice?

The practice location is 500 Grand Ave, First Floor, Englewood, NJ 07631-4967. The office can be reached at 201-567-2277 (phone) or 201-567-2639 (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 1578517991 directly on the NPPES registry website.

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