SHEA REHABILITATION SERVICES,LLC (NPI# 1558684654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558684654 |
| Entity Type | Organization |
| Organization Name | SHEA REHABILITATION SERVICES,LLC |
| Practice Address |
11 Eric Rd Fairfield NJ 07004-2303 |
| Practice Telephone | 2013961332 |
| Mailing Telephone | 2013961332 |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |
| Authorized Official Name | MR. ROBERT KEVIN SHEA (PRESIDENT) |
| Authorized Official Telephone | 2013961332 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 40QA00198200 | NJ | Other Service Providers |
| Street Address |
11 ERIC RD |
| City | FAIRFIELD |
| State | NJ |
| Zip Code | 07004-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543695 | Dr. Mae J. Balaban & Associates LLC | Psychologist | 333 A U.S. Highway 46 W Ste 260, Fairfield, NJ 07004 | 2019-11-18 |
| 1477103547 | Kdds Too, Inc. | Community/Behavioral Health | 28 Dwight Place, Fairfield, NJ 07004 | 2019-09-19 |
| 1912487711 | Vela Diagnostics Usa Inc | Clinical Medical Laboratory | 353c Us Route 46, Suite 250, Fairfield, NJ 07004 | 2018-08-21 |
| 1285111864 | Advance Home Physical Therapy LLC | Physical Therapist | 9 Belair Dr, Fairfield, NJ 07004 | 2018-07-25 |
| 1063808962 | Homecare Rx Inc. | Pharmacy | 695 Us Hwy. 46, Ste. 100, Fairfield, NJ 07004 | 2015-04-08 |
| 1336544832 | Villo' Fiddler | Pharmacist | 632 Rt. 46 East, Fairfield, NJ 07004 | 2014-10-27 |
| 1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
| 1386905529 | Med Life LLC | Ambulance | 295 Route 46 West, Suite 201, Fairfield, NJ 07004 | 2012-06-05 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1447529425 | Yelena Daysudov | Pharmacist | 180 Passaic Avenue, Fairfield, NJ 07004 | 2011-12-21 |
| Find all providers in zip 07004 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740688241 | Tracy L Gordon | Contractor | 3316 Woodside Dr, Fairfield, OH 45014-5023 | 2014-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808902 | Yasmen Mustafa | Contractor | 50 Passaic Ave Apt 401, Kearny, NJ 07032-1155 | 2020-10-13 |
| 1447857297 | Shirley Pierre-louis | Contractor | 18 Canterbury Ln, Hackettstown, NJ 07840-3436 | 2020-10-05 |
| 1770190985 | Christine R Poulton | Contractor | 814 Jackson Ave, Lindenwold, NJ 08021-1218 | 2020-09-30 |
| 1790392330 | Alumni Staffing LLC | Contractor | 1031 Us Highway 22 Ste 109, Bridgewater, NJ 08807-2952 | 2020-09-28 |
| 1093328429 | Kathleen Darrow | Contractor | 107 Manor Ave, Oaklyn, NJ 08107-1143 | 2020-08-25 |
| 1174149744 | Dellshone Tyrece Mckenzie | Contractor | 24 W Railroad Ave Ste 168, Tenafly, NJ 07670-1735 | 2020-06-19 |
| 1144844895 | Robin Carlena Bailey | Contractor | 60 Speedway Ave, Newark, NJ 07106-2217 | 2020-05-28 |
| 1346880861 | Keith A Hinton Jr. | Contractor | 301 Maple Ave Apt 223, North Plainfield, NJ 07060-6653 | 2020-01-13 |
| 1861044927 | Lawrence Gerald Bash | Contractor | 67 Cedarbrook Ave, Bridgeton, NJ 08302-1611 | 2019-07-09 |
| 1407412869 | Rosemary Bergamini | Contractor | 311 Millburn Ave, Millburn, NJ 07041-1643 | 2019-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.