GARDEN STATE REHAB SERVICES (NPI# 1689067563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689067563 |
| Entity Type | Organization |
| Organization Name | GARDEN STATE REHAB SERVICES |
| Practice Address |
18 North St Elmwood Park NJ 07407-2246 |
| Mailing Address |
642 Broad St Clifton NJ 07013-1615 |
| Practice Telephone | 4043009321 |
| Practice Fax Number | 8622391681 |
| Mailing Telephone | 4043009321 |
| Mailing Fax Number | 8622391681 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | MRS. MAGDA GAD (BILLING MANAGER) |
| Authorized Official Telephone | 4043009321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
41YS00599300 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LICENSE | 41YS00599300 | 01 |
| Street Address |
18 NORTH ST |
| City | ELMWOOD PARK |
| State | NJ |
| Zip Code | 07407-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042406 | Diana Marie Monteleon | Registered Nurse | 75 Miller Avenue, Elmwood Park, NJ 07407 | 2020-01-24 |
| 1427569102 | Fastcare Medical Transportation | Ambulance | 62 Philip Ave, Elmwood, NJ 07407 | 2017-10-20 |
| 1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
| 1457885048 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Donor Avenue, Apt A, Elmwood Park, NJ 07407 | 2017-04-20 |
| 1295143196 | Juan Quesada | Student in an Organized Health Care Education/Training Program | 21 Craig Court, Elmwood Park, NJ 07407 | 2014-07-24 |
| 1548546492 | Pinnacle Mri Group, LLC | Clinic/Center | 97 Linden Avenue, Elmwood Park, NJ 07407 | 2011-10-24 |
| 1598914921 | Aaron David Brisman | Dentist | 511 River Drive, Elmwood Park, NJ 07407 | 2008-09-10 |
| 1922267004 | Borough of Elmwood Park | Public Health or Welfare | 182 Market Street, Health Department, Elmwood Park, NJ 07407 | 2008-06-04 |
| 1043477599 | Deborah W. Buzaid | Pathology | 481 Edward H. Ross Drive, Elmwood Park, NJ 07407 | 2008-05-21 |
| 1558571828 | Yan Gao Fan | Pathology | 481 Edward H Ross Drive, Elmwood Park, NJ 07407 | 2007-05-23 |
| Find all providers in zip 07407 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480789 | Rci (wrs), LLC. | Clinic/Center | 7230 W North Ave Ste 212, Elmwood Park, IL 60707-4213 | 2020-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652486 | Kessler Institute for Rehabilitation, Inc. | Clinic/Center | 293 Route 206 Suite 10, Flanders, NJ 07836 | 2019-08-01 |
| 1386108850 | Remed Recovery Care Centers of New Jersey, LLC | Clinic/Center | 557 Cranbury Rd Ste 14, East Brunswick, NJ 08816-5419 | 2019-01-29 |
| 1629579412 | New Horizon Rehabilitation East LLC | Clinic/Center | 4581 Route 9, Howell, NJ 07731-3382 | 2018-02-27 |
| 1174046783 | Napa Center, Inc | Clinic/Center | 301 Garden St, Hoboken, NJ 07030-3873 | 2017-07-25 |
| 1396276390 | Dynamic Care and Rehabilitation Center LLC | Clinic/Center | 4581 Route 9 N, Ste 100, Howell, NJ 07731-3382 | 2017-03-22 |
| 1295281699 | Varsha Pohuja LLC | Clinic/Center | 365 Ocean Blvd Unit 302, Long Branch, NJ 07740-6097 | 2016-08-27 |
| 1477935146 | Bancroft Neurohealth | Clinic/Center | 1433 Hooper Ave Ste 131, Toms River, NJ 08753-2238 | 2015-06-18 |
| 1245623263 | Mane Stream, Inc. | Clinic/Center | 83 Old Turnpike Road, Oldwick, NJ 08858-0081 | 2015-03-16 |
| 1194136028 | Rehab Plus LLC | Clinic/Center | 1935 Lakewood Rd Ste 9, Toms River, NJ 08755-1211 | 2014-05-14 |
| 1528400181 | Community Adult Provider Services | Clinic/Center | 1140 Commerce Ave, Union, NJ 07083-5028 | 2013-07-24 |
| Find all providers with the same taxonomy | ||||
| City | ELMWOOD PARK |
| Zip Code | 07407 |
Please comment or provide details below to improve the information on GARDEN STATE REHAB SERVICES.
| 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.