REVOLUTIONARY REHAB WELLNESS CORP (NPI# 1659785061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659785061 |
| Entity Type | Organization |
| Organization Name | REVOLUTIONARY REHAB WELLNESS CORP |
| Practice Address |
138 Park Ave East Rutherford NJ 07073-1855 |
| Practice Telephone | 2014384400 |
| Practice Fax Number | 2012031748 |
| Mailing Telephone | 2014384400 |
| Mailing Fax Number | 2012031748 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |
| Authorized Official Name | MR. DANIEL MERCADO (PRESIDENT) |
| Authorized Official Telephone | 2014384400 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA00805300 | NJ | Ambulatory Health Care Facilities |
| Street Address |
138 PARK AVE |
| City | EAST RUTHERFORD |
| State | NJ |
| Zip Code | 07073-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765989 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Route 17 (northbound), E. Rutherford, NJ 07073 | 2020-09-21 |
| 1396214490 | Radhika V Shah | Dentist | 70 Cliffwood Terrace, East Rutherford, NJ 07073 | 2018-11-19 |
| 1174816441 | James Hennig | Pharmacist | 20 Murray Hill Pkwy Ste 210, East Rutherford, NJ 07073 | 2011-05-19 |
| 1396914156 | Drug Fair of East Rutherfod | Durable Medical Equipment & Medical Supplies | Liberty Commons 51 Route 17 South, East Rutherford, NJ 07073 | 2008-02-26 |
| 1710164769 | Rachel Long | Social Worker | 1 Meadowlands Plaza, Suite #200, East Rutherford, NJ 07073 | 2008-01-22 |
| 1306999214 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 300 Route 17 N, E. Rutherford, NJ 07073 | 2007-01-22 |
| 1780766600 | John C Scolamiero | Internal Medicine | 245 Park Avenue, East Rutherford, NJ 07073 | 2006-10-19 |
| 1528159951 | Michael J Bozan | Chiropractor | 237 Park Avenue, East Rutherford, NJ 07073 | 2006-09-28 |
| 1821015645 | Hudson County Orthodontics LLC | Dentist | 42 Locust Lane, East Rutherford, NJ 07073 | 2006-07-16 |
| 1437128022 | Ronnie Phillip Barnes | Specialist | 50 State Route 120, New York Football Giants, East Rutherford, NJ 07073 | 2006-03-16 |
| Find all providers in zip 07073 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336303 | 180degree Therapy | Clinic/Center | 52 Hillcrest Dr, Wayne, NJ 07470-5729 | 2020-11-04 |
| 1467052209 | Maximum Health Physical Therapy of Long Valley, PC | Clinic/Center | 62 E Mill Rd Ste A2, Long Valley, NJ 07853-3118 | 2020-10-30 |
| 1225637861 | Mvmt Performance LLC | Clinic/Center | 133 Eayrestown Rd, Southampton, NJ 08088-9122 | 2020-10-24 |
| 1033718473 | Orthostrength Physical Therapy | Clinic/Center | 8 Eastman St Ste 3, Cranford, NJ 07016-2291 | 2020-10-17 |
| 1356949317 | Coast Physio LLC | Clinic/Center | 140 Metedeconk Rd, Brick, NJ 08723-5442 | 2020-10-13 |
| 1639777964 | Trinity Rehab Somerset Pa | Clinic/Center | 1130 Broad St, Shrewsbury, NJ 07702-4308 | 2020-10-09 |
| 1649878976 | Trinity Rehab Somerset Pa | Clinic/Center | 734 Morris Tpke, Short Hills, NJ 07078-2614 | 2020-10-09 |
| 1336747666 | Trinity Rehab Somerset Pa | Clinic/Center | 910 Hamburg Tpke, Wayne, NJ 07470-3225 | 2020-10-09 |
| 1013514306 | Shoreside In Home Therapy | Clinic/Center | 213 19th Ave, Belmar, NJ 07719-2655 | 2020-10-08 |
| 1164039434 | Cano Physical Therapy | Clinic/Center | 1615 80th St, North Bergen, NJ 07047-4165 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | EAST RUTHERFORD |
| Zip Code | 07073 |
Please comment or provide details below to improve the information on REVOLUTIONARY REHAB WELLNESS CORP.
| 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.