1669916136 NPI number — TRINITY REHAB HAMILTON PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669916136 NPI number — TRINITY REHAB HAMILTON PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRINITY REHAB HAMILTON PA
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:
1669916136
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/18/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
554 HIGHWAY 35
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RED BANK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07701-5066
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-219-5700
Provider Business Mailing Address Fax Number:
732-334-3003

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3635 QUAKERBRIDGE RD
Provider Second Line Business Practice Location Address:
SUITE 38
Provider Business Practice Location Address City Name:
HAMILTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08619-1247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-219-5700
Provider Business Practice Location Address Fax Number:
732-334-3003
Provider Enumeration Date:
12/18/2016

Additional Information

Authorized Official

Authorized Official Last Name:
GAVRIELIDES
Authorized Official First Name:
TONYA
Authorized Official Middle Name:
Authorized Official Title or Position:
OPERATIONS MANAGER
Authorized Official Telephone Number:
732-219-5700

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com