Rehabilitation and Electrodiagnostics Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA06710600 Issued in NJ

Legal business name

REHABILITATION AND ELECTRODIAGNOSTICS INC

Practice address

200 Perrine Rd
Suite 211
Old Bridge, NJ 08857-2842

Phone

(732) 553-1000

Fax

(732) 553-1003

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Lucyna K Lupicki, MDNPI 1669579439

Title

Sole Proprietor

Phone

(732) 553-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 4

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.

• Lucyna Krystyna Lupicki, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Old Bridge, NJ
  • NPI 1669579439
  Medicare reassignment NPD Authorized official
• Marek Robert Lupicki, M.D.

  • Internal Medicine Physician
  • Old Bridge, NJ
  • NPI 1508967746
  NPD
• Barbara Wyczesany, NP-C

  • Adult Health Nurse Practitioner
  • Old Bridge, NJ
  • NPI 1639310725
  NPD (past)
• Maksymilian A Kawalec, M.D.

  • Hospitalist Physician
  • Ridley Park, PA
  • NPI 1659323673
  NPD (past)

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1083915607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE 211",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572842",
            "telephone_number": "732-553-1000",
            "fax_number": "732-553-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE 211",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572842",
            "telephone_number": "732-553-1000",
            "fax_number": "732-553-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION AND ELECTRODIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "LUPICKI",
        "authorized_official_first_name": "LUCYNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "732-553-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06710600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rbidc
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• Reformed Church Ministries to the Aging, the Particular Synod of the M (Reformed Church Home)
• Reformed Church Ministries to the Aging, the Particular Synod of the M (Reformed Church Home)
• Nicole Rehorn, R.N
• Rekha Rao MD LLC
• Reliance Adult Day Care Inc
• John Anthony Renda, MD
• Resnick Consultants

• Specialist in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.