Organization Active NPI

Montclair Rehab Services, LLC

  • Physical Therapy Clinic/Center
  • Montclair, NJ
National Provider Identifier
1104126515
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MONTCLAIR REHAB SERVICES, LLC
Practice address
110 Greenwood Ave
Montclair, NJ 07042-4010
Phone
(973) 783-5589
NPI assigned
Nov 1, 2010
Last updated
Nov 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Sangeeta Desai, RPTNPI 1316015001
Title
Member
Phone
(908) 764-3074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NJ Primary

Addresses

Primary practice location

110 Greenwood Ave
Montclair, NJ 07042-4010

Mailing address

6603 Hana Rd
Edison, NJ 08817-2546
Phone (908) 764-3074

National Provider Directory

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, 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": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1104126515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 HANA RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172546",
            "telephone_number": "908-764-3074",
            "fax_number": "973-783-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GREENWOOD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424010",
            "telephone_number": "973-783-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR REHAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SANGEETA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "908-764-3074",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.