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Ivyrehab Network, Inc.

Organization Active NPI Physical Medicine & Rehabilitation Physician · Westfield, NJ

NPI 1134859408 · NPPES record last updated Jun 10, 2022

Key facts

NPI
1134859408
Entity type
Organization (NPI type 2)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
Legal business name
IVYREHAB NETWORK, INC.
Practice address
525 Central Ave
Westfield, NJ 07090-2534
Phone
(908) 654-4252
NPI assigned
Jun 10, 2022
Organization subpart
No

Authorized official

Name
Ashley Griffiths
Title
Director of Payer Relations
Phone
(732) 678-6119

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 14

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

Practitioners 658

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

View all 658

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220811002329 NJ DME Supplier - Independently-Practicing Occupational Therapist
DME Supplier - Independently-Practicing Physical Therapist		 3476539776 Practice locations: Westfield, NJ

National Provider Directory

Tax ID family
Ivyrehab Network Inc (15 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208100000X Yes

Addresses

Primary practice location

525 Central Ave
Westfield, NJ 07090-2534

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224

Other providers in Westfield, NJ

All providers in Westfield, NJ · Physical Medicine & Rehabilitation Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.