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
Last updated
Jul 11, 2024By the provider in NPPES
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

329 Real Rd
Bakersfield, CA 93309
Phone (661) 327-7107

5151 Knudsen Dr
Bakersfield, CA 93308
Phone (661) 325-9900

15115 S Vermont Ave
Gardena, CA 90247
Phone (310) 532-0070

212 W Chevy Chase Dr
Glendale, CA 91204
Phone (818) 240-6720

8382 Newman Ave
Huntington Beach, CA 92647
Phone (714) 842-5551

1001 S Osage Ave
Inglewood, CA 90301
Phone (310) 674-3216

2415 S Western Ave
#1182
Los Angeles, CA 90018

16412 Los Gatos Blvd
#1112
Los Gatos, CA 95032

1899 N Raymond Ave
Pasadena, CA 91103
Phone (626) 797-2120

215 W Pearl St
Pomona, CA 91768
Phone (909) 227-0750

1620 W Fern Ave
Redlands, CA 92373
Phone (909) 793-2196

4070 Jurupa Ave
Riverside, CA 92506
Phone (301) 308-8995

4510 Brockton Ave
Ste 175
Riverside, CA 92501
Phone (951) 786-5100

1267 San Gabriel Blvd
Rosemead, CA 91770
Phone (323) 283-9049

909 W Santa Anita Ave
San Gabriel, CA 91776
Phone (626) 289-5365

250 Fairview Rd
Thousand Oaks, CA 91361
Phone (707) 964-6333

7660 Wyngate St
Tujunga, CA 91042
Phone (818) 352-1454

6835 Hazeltine Ave
Van Nuys, CA 91405
Phone (818) 997-1841

5716 Corsa Ave
Westlake Village, CA 91362

202 S Bridge St
Linden, MI 48451
Phone (810) 735-9400

4 Saint Joseph St
Woonsocket, RI 02895
Phone (401) 765-5844

Practitioners & affiliated clinicians

Practitioners 97

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.