NPIMap

Organization Active NPI

Universal Rehabilitation & Fitness Center Inc

Doing business as Universal Institute, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Long Branch, NJ
National Provider Identifier
1083096556
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
UNIVERSAL REHABILITATION & FITNESS CENTER INC
Doing business as
Universal Institute, Inc
Practice address
73A Dudley St.
Long Branch, NJ 07740
Phone
(732) 963-9446
Fax
(732) 272-1574
NPI assigned
Jun 22, 2015
Last updated
Jun 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Mr. Michael Scudillo
Title
Chief Compliance Officer
Phone
(973) 992-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NJ Primary

Addresses

Primary practice location

73A Dudley St.
Long Branch, NJ 07740

Mailing address

15 Microlab Rd.
Suite 101
Livingston, NJ 07039
Phone (973) 992-8181

Other identifiers 1

IdentifierTypeStateIssuer
7340401MedicaidNJ

Other names 1

  • Universal Institute, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Universal Rehabilitation Fitness Center Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

Locations

73 Dudley St
#A
Long Branch, NJ 07740
Phone (732) 963-9446

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1083096556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MICROLAB RD.",
            "address_2": "SUITE 101",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-992-8181",
            "fax_number": "973-992-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73A DUDLEY ST.",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "07740",
            "telephone_number": "732-963-9446",
            "fax_number": "732-272-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL REHABILITATION & FITNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "SCUDILLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "973-992-8181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7340401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Institute, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.