Organization Active NPI

Comprehensive Rehabilitation Center,P.C.

  • Multi-Specialty Clinic/Center
  • Paterson, NJ
National Provider Identifier
1164517264
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
COMPREHENSIVE REHABILITATION CENTER,P.C.
Practice address
705 Broadway
Paterson, NJ 07514-1425
Phone
(973) 278-0707
Fax
(973) 278-0709
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Linda M. Graves, M.D.
Title
President
Phone
(973) 278-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

705 Broadway
Paterson, NJ 07514-1425

Mailing address

705 Broadway
Paterson, NJ 07514-1425
Phone (973) 278-0707

National Provider Directory

National Provider Directory

Locations

312 Belleville Tpke
North Arlington, NJ 07031
Phone (201) 998-2800

340 Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 644-0860

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164517264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141425",
            "telephone_number": "973-278-0707",
            "fax_number": "973-278-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141425",
            "telephone_number": "973-278-0707",
            "fax_number": "973-278-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE REHABILITATION CENTER,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-278-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.