1487670816 NPI number — ALAN FRIEDMAN MD REHABILITATION MEDICINE INC

Table of content: (NPI 1487670816)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487670816 NPI number — ALAN FRIEDMAN MD REHABILITATION MEDICINE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALAN FRIEDMAN MD REHABILITATION MEDICINE INC
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:
6
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:
1487670816
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1496 CEDAR ROW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKEWOOD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
680 BROADWAY
Provider Second Line Business Practice Location Address:
BARNERT HOSPITAL - REHABILITATION DEPT
Provider Business Practice Location Address City Name:
PATERSON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07514-1422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-447-1066
Provider Business Practice Location Address Fax Number:
928-752-6612
Provider Enumeration Date:
07/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FRIEDMAN
Authorized Official First Name:
ALAN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
908-447-1066

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  MA64221 , 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: 8045402 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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