BEACHWOOD LOW BACK REHAB CENTER (NPI# 1881667277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881667277 |
Entity Type | Organization |
Organization Name | BEACHWOOD LOW BACK REHAB CENTER |
Practice Address |
137 Atlantic City Blvd Suite 2 Beachwood NJ 08722-2935 |
Practice Telephone | 7322448666 |
Practice Fax Number | 7322440450 |
Mailing Telephone | 7322448666 |
Mailing Fax Number | 7322440450 |
Enumeration Date | 2006-02-08 |
Last Update Date | 2009-04-16 |
NPI Deactivation Date | 04/14/2009 |
NPI Reactivation Date | 2009-04-16 |
Authorized Official Name | DR. STEVEN J POLLACK (DIRECTOR) |
Authorized Official Telephone | 7322448666 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | 40QA00497000 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 208D00000X | General Practice | 25MA03808800 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
137 ATLANTIC CITY BLVD SUITE 2 |
City | BEACHWOOD |
State | NJ |
Zip Code | 08722-2935 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780657163 | Jane Delaney | Physical Therapist | 137 Atlantic City Blvd, Suite 2, Beachwood, NJ 08722-2935 | 2006-02-08 |
1326523226 | Pollack Health and Wellness 2 Pa | Chiropractor | 137 Atlantic City Blvd, Beachwood, NJ 08722-2935 | 2018-09-27 |
1861917775 | Brandon Pollack | Chiropractor | 137 Atlantic City Blvd, Beachwood, NJ 08722-2935 | 2017-08-11 |
1033535703 | Deborah Bader | Nurse Practitioner | 137 Atlantic City Blvd, Beachwood, NJ 08722-2935 | 2014-03-05 |
1841621778 | Lukas Delorenzo | Physical Therapist | 137 Atlantic City Blvd, Beachwood, NJ 08722-2935 | 2013-12-03 |
1831351782 | Pollack Health and Wellness, Inc | Physical Therapist | 137 Atlantic City Blvd, Beachwood, NJ 08722-2935 | 2008-07-01 |
1205024338 | Steven J Pollack Dc Pa | Chiropractor | 137 Atlantic City Blvd, Beachwood, NJ 08722-2935 | 2007-10-15 |
1578782306 | Christopher J Sayers | Chiropractor | 137 Atlantic City Blvd, Beachwood, NJ 08722-2935 | 2007-04-24 |
1497729065 | Steven J Pollack | Chiropractor | 137 Atlantic City Blvd, Ste. 1, Beachwood, NJ 08722-2935 | 2006-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639245640 | Pedorthic Concepts Inc | Orthotist | 145 Atlantic City Blvd, Beachwood, NJ 08722 | 2006-11-28 |
1023190287 | Thomas Gray | Chiropractor | 683 Bay Ave, Toms River, NJ 08722 | 2006-10-19 |
1568832046 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 835 Forecastle Ave, Beachwood, NJ 08722-2407 | 2015-09-28 |
1295958395 | Kimberly Ann Veith | Social Worker | 645 Beachwood Blvd, Beachwood, NJ 08722-2505 | 2007-04-10 |
1427507607 | Patti Herrmann | Dietitian, Registered | 401 Halliard Ave, Beachwood, NJ 08722-2619 | 2016-09-28 |
1942603766 | Sara Petersen | Speech-Language Pathologist | 513 Leeward Ave, Beachwood, NJ 08722-2625 | 2014-10-07 |
1336519149 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Atlantic City Blvd, Beachwood, NJ 08722-2800 | 2015-10-06 |
1801146576 | Christine Poane | Social Worker | 111 Admiral Ave, Beachwood, NJ 08722-2803 | 2012-09-11 |
1790229540 | Poane Counseling Services, LLC. | Community/Behavioral Health | 111 Admiral Ave, Beachwood, NJ 08722-2803 | 2016-12-13 |
1811367022 | Austin Port | Dentist | 15 Brigantine St, Beachwood, NJ 08722-2900 | 2015-09-30 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1952673923 | Margaret A. Kravanya, D.o., Inc. | General Practice | 24300 Chagrin Blvd, Suite 206, Beachwood, OH 44122-5639 | 2012-02-06 |
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1952920274 | Carmen Sofia Arismendy | General Practice | 235 Burnside Pl, Ridgewood, NJ 07450-1701 | 2020-04-16 |
1699304949 | Maria Izabel Salazar Izeppi | General Practice | 51 Fawn Hollow Rd, Burlington, NJ 08016-3966 | 2020-04-07 |
1114558780 | Greenbook Health & Wellness | General Practice | 169 Ivy St, Newark, NJ 07106-2843 | 2020-01-31 |
1932742533 | Alexandra Grace Cantelmo | General Practice | 170 Marketplace Blvd, Hamilton, NJ 08691-2103 | 2019-10-26 |
1477196707 | Dragonfly Health | General Practice | 151 Fries Mill Rd Ste 104, Turnersville, NJ 08012-2056 | 2019-10-18 |
1639711500 | Health Focus Agency | General Practice | 201 Laurel Creek Blvd, Moorestown, NJ 08057-3965 | 2019-10-11 |
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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.