NPIMap

Organization Active NPI

Albert Einstein Medical Center

Doing business as Moss Rehab - Drucker Brain Injury Center (Woodbury, NJ)

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woodbury, NJ
National Provider Identifier
1144619263
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
TB1078 Issued in NJ
Legal business name
ALBERT EINSTEIN MEDICAL CENTER
Doing business as
Moss Rehab - Drucker Brain Injury Center (Woodbury, NJ)
Practice address
135 S Broad St
Woodbury, NJ 08096-2441
Phone
(856) 853-9900
NPI assigned
Jan 13, 2015
Last updated
Jan 13, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ALBERT EINSTEIN MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Mr. Walter G Wyatt
Title
Assoc VP-Finance
Phone
(215) 254-3254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X TB1078 NJ Primary

Addresses

Primary practice location

135 S Broad St
Woodbury, NJ 08096-2441

Mailing address

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-9000

Other names 1

  • MOSS REHAB - DRUCKER BRAIN INJURY CENTER (WOODBURY, NJ) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Albert Einstein Medical12 organizations share this tax ID, including this one
Part of
Albert Einstein Medical

Other organizations with this tax ID 11

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

Locations

135 S Broad St
Woodbury, NJ 08096
Phone (215) 663-6681

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1144619263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962441",
            "telephone_number": "856-853-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT EINSTEIN MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALBERT EINSTEIN MEDICAL CENTER",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ASSOC VP-FINANCE",
        "authorized_official_telephone_number": "215-254-3254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "TB1078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOSS REHAB - DRUCKER BRAIN INJURY CENTER (WOODBURY, NJ)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.