New Era Rehabilitation Center, Inc

LBN: New Era Rehabilitation Center, Inc
New Era Rehabilitation Center, Inc is an health care organization with primary practice located at 4675 Main Street , Bridgeport CT 06606-2864. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. New Era Rehabilitation Center, Inc can be contacted via phone (203) 344-0025, or through Kolade, Ebenezer Adekunle via phone (203) 562-2101.

Contact Information

Primary practice address
4675 Main Street Bridgeport CT 06606-2864
Phone: (203) 344-0025
Fax: (203) 374-7515
Website:
Map and Directions
Authorized official contact:
Name: Kolade, Ebenezer Adekunle Doctor of Medicine (MD)
Phone: (203) 562-2101

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 042947 Connecticut
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 042947 Connecticut
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 040029 Connecticut
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Methadone 261QM2800X 0266 Connecticut
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 0266 Connecticut
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 0266 Connecticut

Profile Details

NPI number 1255372108
LBN Legal business name New Era Rehabilitation Center, Inc
DBA Doing business as
Authorized official Kolade, Ebenezer Adekunle Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated May 12th, 2021 - about 3 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 1255372108 NPPES
Connecticut MEDICAID 4224507

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