1568436111 NPI number — ATLANTIC PHYSICAL MEDICINE & REHABILITATION CENTER P A

Table of content: (NPI 1568436111)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568436111 NPI number — ATLANTIC PHYSICAL MEDICINE & REHABILITATION CENTER P A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ATLANTIC PHYSICAL MEDICINE & REHABILITATION CENTER P A
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:
1568436111
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/22/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9 HOSPITAL DRIVE
Provider Second Line Business Mailing Address:
SUITE C-25
Provider Business Mailing Address City Name:
TOMS RIVER
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08755-6425
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-736-0100
Provider Business Mailing Address Fax Number:
732-736-0666

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9 HOSPITAL DRIVE
Provider Second Line Business Practice Location Address:
SUITE C-25
Provider Business Practice Location Address City Name:
TOMS RIVER
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08755-6425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-736-0100
Provider Business Practice Location Address Fax Number:
732-736-0666
Provider Enumeration Date:
02/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NAG
Authorized Official First Name:
DEBASHIS
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
732-736-0100

Provider Taxonomy Codes

  • Taxonomy code: 208100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 8370800 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: CJ2446 . This is a "RAIL ROAD MEDICARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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