1275679326 NPI number — PROFESSIONAL REHAB KARE, P.C.

Table of content: (NPI 1275679326)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275679326 NPI number — PROFESSIONAL REHAB KARE, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PROFESSIONAL REHAB KARE, P.C.
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:
Provider Other Organization Name Type Code:
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:
1275679326
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 GARDENIA CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SICKLERVILLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08081-4500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-262-8577
Provider Business Mailing Address Fax Number:
856-346-3375

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
215 E LAUREL RD
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
STRATFORD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08084-1361
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-346-3370
Provider Business Practice Location Address Fax Number:
856-346-3375
Provider Enumeration Date:
01/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PRICE
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
FRANCIS
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
856-262-8577

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  40QA00354600 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0000006637 . This is a "OPERATING ENGINEERS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 687802 . This is a "ACN GROUP UNITED HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 907797 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 5891758 . This is a "AETNA GROUP" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: P443885 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 10670461 . This is a "CAQH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1272723 . This is a "FOCUS STRATFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 21139519023 03 . This is a "BEECH STREET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0816475000 . This is a "PA BC BS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 451693 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1039682 . This is a "FIRST HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 72002 . This is a "CIGNA SHAPES" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 72001 . This is a "CIGNA STRATFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 912808 . This is a "KEYSTONE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 5049064 . This is a "AETNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: A116320 . This is a "MULTIPLAN SHAPES" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: A116323 . This is a "MULTIPLAN STRATFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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