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).
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 |
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 Name | Type Code |
---|---|
Gaviota Clinic | Doing Business As Name - Organization |
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 |
Street Address |
123 CLIFFORD ST |
City | NEWARK |
State | NJ |
Zip Code | 07105-1950 |
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 Code | 273Y00000X |
Grouping | Hospital Units |
Classification | Rehabilitation Unit |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912258898 | Licking Memorial Hospital | Rehabilitation Unit | 1320 W Main St, Newark, OH 43055-1822 | 2012-10-02 |
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 |
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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.