Organization Active NPI

Mid-Atlantic Rehabilitation Associates P a

  • Physical Medicine & Rehabilitation Physician
  • Northfield, NJ
National Provider Identifier
1053361261
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MID-ATLANTIC REHABILITATION ASSOCIATES P A
Practice address
1750 Zion Rd
Suite 103
Northfield, NJ 08225-1844
Phone
(609) 641-2581
Fax
(609) 641-6901
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Mr. Arvind B Baliga, M.D.
Title
Pres./Owner
Phone
(609) 641-2581

Specialties & licenses 1

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

Addresses

Primary practice location

1750 Zion Rd
Suite 103
Northfield, NJ 08225-1844

Mailing address

PO Box 8627
Cherry Hill, NJ 08002-0627
Phone (856) 755-1616

Other identifiers 7

IdentifierTypeStateIssuer
743208OtherNJAMERIHEALTH ADMINISTRATOR
115192800OtherUS DEPT OF LABOR
5503507MedicaidNJ
651882000OtherNJAMERIHEALTH HMO / PPO
628290OtherANTHEM BLUE SHIELD
200043485OtherRAILROAD MEDICARE
115309OtherNJAETNA HMO / PPO

National Provider Directory

National Provider Directory

Locations

707 White Horse Pike
Ste 6
Absecon, NJ 08201
Phone (609) 661-9750

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1053361261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8627",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080020627",
            "telephone_number": "856-755-1616",
            "fax_number": "856-755-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ZION RD",
            "address_2": "SUITE 103",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251844",
            "telephone_number": "609-641-2581",
            "fax_number": "609-641-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC REHABILITATION ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "BALIGA",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRES./OWNER",
        "authorized_official_telephone_number": "609-641-2581",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "743208",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "115192800",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5503507",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO / PPO",
            "identifier": "651882000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "628290",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200043485",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO / PPO",
            "identifier": "115309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.