Jersey Rehab Pa Pc

LBN: Jersey Rehab Pa
Jersey Rehab Pa Pc is an health care organization with primary practice located at 15 Newark Ave , Belleville NJ 07109-1123. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Jersey Rehab Pa can be contacted via phone (973) 844-9220, or through Gangemi, Edwin M. via phone (973) 482-1614.

Contact Information

Primary practice address
15 Newark Ave Belleville NJ 07109-1123
Phone: (973) 844-9220
Fax: (973) 844-9221
Website:
Map and Directions
Authorized official contact:
Name: Gangemi, Edwin M. Doctor of Medicine (MD)
Phone: (973) 482-1614

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X

Profile Details

NPI number 1629005012
LBN Legal business name Jersey Rehab Pa
DBA Doing business as Jersey Rehab Pa Pc
Authorized official Gangemi, Edwin M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2006
Last updated Oct 23rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629005012 NPPES
New York Other A100001253 MEDICARE PTAN NEW FOR NY

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