SPRING SPA DEPOT CORPORATION


Address: 123 Clifford St, Newark, NJ 07105-1950
Phone: 9733883258

SPRING SPA DEPOT CORPORATION (NPI# 1699066225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699066225
Entity Type Organization
Organization Name SPRING SPA DEPOT CORPORATION
Other Organization Name GAVIOTA CLINIC
Practice Address 123 Clifford St
Newark
NJ 07105-1950
Mailing Address Po Box 32534
Newark
NJ 07102-0934
Practice Telephone 9733883258
Enumeration Date 2011-04-30
Last Update Date 2011-04-30
Authorized Official Name DR. GARIS L SILEGA (PRESIDENT)
Authorized Official Telephone 9733883258
Authorized Official Credential M.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 291U00000X Clinical Medical Laboratory Laboratories
N 302F00000X Exclusive Provider Organization Managed Care Organizations
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 347C00000X Private Vehicle Transportation Services
Y 273Y00000X Rehabilitation Unit Hospital Units

Other Provider/Organization Names

Other Name Type Code
Gaviota Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083972442 Spring Spa Depot Corporation Preferred Provider Organization 6 Goble St, Newark, NJ 07114-2702 2012-04-24
1780073478 Spring Spa Depot Corporation Clinical Medical Laboratory 180 S Orange Ave Apt 1405, Newark, NJ 07103-2766 2015-01-18

Office Location

Street Address 123 CLIFFORD ST
City NEWARK
State NJ
Zip Code 07105-1950

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053802819 Ferry Pharmacy Pharmacy 165 Ferry St, Newark, NJ 07105 2018-05-28
1467969287 Gabriela Cristina Celeiro Social Worker 243 East Kinney Street, Newark, NJ 07105 2018-01-02
1194238899 Astra Health Center of Newark LLC Internal Medicine 41 Wilson Ave., Newark Nj, NJ 07105 2017-11-16
1760909501 Walgreen Co Durable Medical Equipment & Medical Supplies 140 42 Ferry St, Newark, NJ 07105 2017-08-23
1487185286 Mercy Drive Regional Corporation Day Training, Developmentally Disabled Services 498-500 Ferry Street 1st Floor, Newark, NJ 07105 2017-03-23
1891236329 Mercy Drive Regional Corporation Home Health 498 Ferry Street, Newark, NJ 07105 2017-03-16
1073968640 Neha Rajkotia Physical Therapist 360 Avenue P, Preferred Freezer Bldg, 3rd Floor Immedicare, Newark, NJ 07105 2016-05-02
1184099251 Child Smiles Spec LLC Dentist 67-73 Fillmore Street, Newark, NJ 07105 2015-12-01
1982099602 Fermin Alejandro Padron Pharmacist 140-42 Ferry Street, Newark, NJ 07105 2015-03-31
1598162968 Peak Chiropractic & Wellness LLC Chiropractor 411 419 Chestnut St, 1a, Newark, NJ 07105 2014-12-01
Find all providers in zip 07105

Taxonomy Information

Taxonomy Code 273Y00000X
Grouping Hospital Units
Classification Rehabilitation Unit

Taxonomy Definition

In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.
Notes: Source: Code of Federal Regulations #42, Section 412.29.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912258898 Licking Memorial Hospital Rehabilitation Unit 1320 W Main St, Newark, OH 43055-1822 2012-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952750432 Innovations Med Spa Rehabilitation Unit 570 N Broad St Ste 10, Elizabeth, NJ 07208-4301 2016-06-06
1871989293 Minhye Lee Rehabilitation Unit 250 Union St, Ridgewood, NJ 07450-4441 2015-04-13
1972869543 Donna Whitney Rehabilitation Unit 2320 Dellwood Dr, Point Pleasant Boro, NJ 08742-4301 2012-04-08
1891096780 Bonocore Chiropractic & Associates, P.C. Rehabilitation Unit 904 23rd St, Second Floor, Union City, NJ 07087-2117 2010-11-08
1942418629 Bayshore Community Hospital Rehabilitation Unit 94 Garden Rd, Shrewsbury, NJ 07702-4474 2007-05-18
1881801298 Ewa Bogacz Rehabilitation Unit 12-15 Saddle River, Maple Glen Center, Fair Lawn, NJ 07410 2007-05-16
1922168533 Functional Diagnostics PC Rehabilitation Unit 364 Broad St, Keyport, NJ 07735-1619 2006-12-12
1235137282 Virtua Memorial Hospital of Burlington County Rehabilitation Unit 1636 Route 38, Virtua Rehab Network, Lumberton, NJ 08048-2900 2005-07-13
1316599541 Hmh Hospitals Corporation Rehabilitation Unit 425 Jack Martin Blvd, Brick, NJ 08724-7732 2019-07-09
1356853907 Hmh Hospitals Corporation Rehabilitation Unit 1 Riverview Plz, Red Bank, NJ 07701-1864 2017-11-03
Find all providers with the same taxonomy

Competitor

Search similar providers

City NEWARK
Zip Code 07105

Improve Information

Please comment or provide details below to improve the information on SPRING SPA DEPOT CORPORATION.

Dataset Information

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.

Trending Searches