Jerseyrehab

LBN: Jerseyrehab
Jerseyrehab is an health care organization with primary practice located at 495 N 13Th St , Newark NJ 07107-1317. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Jerseyrehab can be contacted via phone (973) 268-1444, or through Gangemi, Edwin M via phone (973) 482-1614.

Contact Information

Primary practice address
495 N 13Th St Newark NJ 07107-1317
Fax: (973) 482-3004
Website:
Authorized official contact:
Name: Gangemi, Edwin M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA05600600 New Jersey
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA06101800 New Jersey
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 25MA06101800 New Jersey
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 25MA05600600 New Jersey

Profile Details

NPI number 1801927397
LBN Legal business name Jerseyrehab
DBA Doing business as
Authorized official Gangemi, Edwin M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 8th, 2007
Last updated May 16th, 2008 - about 17 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 1801927397 NPPES
New Jersey Other 1184656373 DR MARINI NPI
New Jersey Other 1962433524 DR MARINI NPI
New Jersey MEDICAID 7198302 DR MARINI NPI
New Jersey MEDICAID 0037435 DR MARINI NPI

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