1235576679 NPI number — TU REHAB LLC

Table of content: (NPI 1235576679)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235576679 NPI number — TU REHAB LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TU REHAB LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TU REHAB OF ORADELL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235576679
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/24/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
579 CRANBURY RD
Provider Second Line Business Mailing Address:
SUITE C
Provider Business Mailing Address City Name:
EAST BRUNSWICK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08816-5405
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-432-0733
Provider Business Mailing Address Fax Number:
732-432-9131

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
550 KINDERKAMACK RD
Provider Second Line Business Practice Location Address:
NORTH BUILDING, SUITE 203
Provider Business Practice Location Address City Name:
ORADELL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07649-1500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-523-9220
Provider Business Practice Location Address Fax Number:
201-523-9218
Provider Enumeration Date:
05/24/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
STEINMETZ
Authorized Official First Name:
HENRY
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
732-432-0733

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)