NPIMap

Organization Active NPI

West Coast Health and Rehab PC

  • Physical Medicine & Rehabilitation Physician
  • Edgewater, NJ
National Provider Identifier
1043743891
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WEST COAST HEALTH AND REHAB PC
Practice address
103 River Rd Ste 101
Edgewater, NJ 07020-1016
Phone
(201) 308-8995
NPI assigned
Apr 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Rench
Title
Director
Phone
(678) 207-9063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

103 River Rd Ste 101
Edgewater, NJ 07020-1016

Mailing address

PO Box 22592
New York, NY 10087-2592
Phone (702) 964-1525

Other practice location 1

4510 Brockton Ave Ste 175
Riverside, CA 92501-4020
Phone (501) 230-8161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170517002654 CA Part B Supplier - Clinic/Group Practice 8325315609 Receives reassigned benefits from 87 practitioners

National Provider Directory

National Provider Directory

Locations

1611 Height St
Bakersfield, CA 93305
Phone (661) 748-1300

23600 Via Esplendor
Cupertino, CA 95014
Phone (650) 944-0100

43830 10th St W
Lancaster, CA 93534
Phone (661) 494-8600

76 Fenton St
Livermore, CA 94550
Phone (925) 443-1800

2415 S Western Ave
#1182
Los Angeles, CA 90018

5125 Monte Vista St
Los Angeles, CA 90042
Phone (213) 673-1880

16412 Los Gatos Blvd
#1112
Los Gatos, CA 95032

17650 Devonshire St
Northridge, CA 91325
Phone (818) 886-1616

6812 Oak Ave
San Gabriel, CA 91775
Phone (626) 446-5263

2580 Samaritan Dr
San Jose, CA 95124
Phone (408) 356-7002

1601 5th Ave
San Rafael, CA 94901
Phone (415) 456-7170

16890 Green Tree Blvd
Victorville, CA 92395
Phone (310) 273-4843

Practitioners & affiliated clinicians

Practitioners 97

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 97

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1043743891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22592",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872592",
            "telephone_number": "702-964-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIVER RD STE 101",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-308-8995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4510 Brockton Ave Ste 175",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925014020",
            "country_code": "US",
            "telephone_number": "501-230-8161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST COAST HEALTH AND REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-08",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "RENCH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-207-9063"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.