NPIMap

Organization Active NPI

Suburban Rehab LLC

  • Clinic/Center
  • Hamilton, NJ
National Provider Identifier
1063780310
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
25MA03871500 Issued in NJ
Legal business name
SUBURBAN REHAB LLC
Practice address
1245 Whitehorse Mercerville Rd
Suite 409
Hamilton, NJ 08619-3831
Phone
(609) 585-4668
Fax
(609) 581-2103
NPI assigned
Dec 1, 2011
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Dr. Reuben Betia, M.D.
Title
Owner
Phone
(609) 585-4668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 25MA03871500 NJ Primary

Addresses

Primary practice location

1245 Whitehorse Mercerville Rd
Suite 409
Hamilton, NJ 08619-3831

Mailing address

1245 Whitehorse Mercerville Rd
Suite 409
Hamilton, NJ 08619-3831
Phone (609) 585-4668

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1063780310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 409",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-585-4668",
            "fax_number": "609-581-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 409",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-585-4668",
            "fax_number": "609-581-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "BETIA",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-585-4668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA03871500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.