NPIMap

Organization Active NPI

Pediatric and Adult Rehabilitation Center, LLC

  • Speech-Language Pathologist
  • Somerset, NJ
National Provider Identifier
1073886933
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00686000 Issued in NJ
Legal business name
PEDIATRIC AND ADULT REHABILITATION CENTER, LLC
Practice address
4 Railroad Ave
Somerset, NJ 08873-2724
Phone
(732) 873-7600
NPI assigned
Feb 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Gloria Anderson-Ballard
Title
Speech-Language Pathologist
Phone
(732) 873-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 41YS00686000 NJ Primary

Addresses

Primary practice location

4 Railroad Ave
Somerset, NJ 08873-2724

Mailing address

4 Railroad Ave
Somerset, NJ 08873-2724

National Provider Directory

National Provider Directory
Tax ID family
Parc-Pediatric and Adult Rehabilitation Center Limited Liability Compa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1073886933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RAILROAD AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RAILROAD AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732724",
            "telephone_number": "732-873-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADULT REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-BALLARD",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "732-873-7600"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00686000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.