Zma Rehabilitation Services LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

46TR00395600 Issued in NJ

Legal business name

ZMA REHABILITATION SERVICES LLC

Practice address

81 Northfield Ave
Suite 104
West Orange, NJ 07052-5342

Phone

(973) 325-0229

Fax

(973) 325-1105

NPI assigned

Feb 18, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Burt Michael Lacivita, MS OTRNPI 1659549095

Title

Owner

Phone

(201) 923-7533

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Burt Michael Lacivita, M.S. OTR

  • Hand Occupational Therapist
  • West Orange, NJ
  • NPI 1659549095
  NPD (past) Authorized official

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1083911507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S CENTRE ST",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792609",
            "telephone_number": "201-923-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 NORTHFIELD AVE",
            "address_2": "SUITE 104",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525342",
            "telephone_number": "973-325-0229",
            "fax_number": "973-325-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZMA REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "LACIVITA",
        "authorized_official_first_name": "BURT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-923-7533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NJ",
            "license": "46TR00395600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Klein Zeleny, PT, DPT
• Juliana Siqueira Zielcke
• Karen Sue Ziemke, M.D.
• Carl W Ziesing, PHD
• Hannah Zilka, PT, DPT
• Elzbieta Zoldak, DPT
• Matthew Howard Zornitzer, MD
• Roseanna Boylan Zoubek, LCSW
• Paula Zuckerman
• Zufall Health Center, Inc

• Comprehensive Outpatient Rehabilitation Facility (CORF) in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.