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Ivyrehab Network Inc.

Organization Active NPI Physical Therapist · Hoboken, NJ

NPI 1174577274 · NPPES record last updated Aug 12, 2022

Key facts

NPI
1174577274
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
IVYREHAB NETWORK INC.
Practice address
79 Hudson St
Hoboken, NJ 07030-5602
Phone
(201) 792-1170
Fax
(201) 792-1171
NPI assigned
May 22, 2006
Organization subpart
No

Authorized official

Name
Michael Rucker
Title
Ceo
Phone
(914) 777-8700

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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 947

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

View all 947

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040628000865 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3476539776 Receives reassigned benefits from 824 practitioners
1 other NPI on this enrollment

National Provider Directory

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

Locations (25 of 111)

300 Seymour Ave
Ste 101
Derby, CT 06418
Phone (203) 732-3443

167 Us Hwy 9
Boston, MA 02241

130 Black Horse Pike
Ste 312
Audubon, NJ 08106

1600 Saint Georges Ave
Ste A
Avenel, NJ 07001

15 Newark Ave
#1
Belleville, NJ 07109

15 Newark Ave
Ste A
Belleville, NJ 07109
Phone (973) 759-1100

217 US Highway 130
Bordentown, NJ 08505
Phone (609) 400-1630

74 Brick Blvd
Bldg 4
Brick, NJ 08723
Phone (732) 451-0010

34 Lanes Mill Rd
Unit 2A
Brick, NJ 08724

74 Brick Blvd
Ste 116
Brick, NJ 08723
Phone (732) 451-0010

34 Lanes Mill Rd
Unit 2A2B
Brick, NJ 08724
Phone (732) 714-6363

70 Manheim Ave
Ste 3
Bridgeton, NJ 08302
Phone (856) 455-9700

11 Court House South Dennis Rd
Ste 100
Cape May Court House, NJ 08210
Phone (609) 696-5979

178 E Hanover Ave
Ste A11
Cedar Knolls, NJ 07927

650 Shunpike Rd
Ste 10
Chatham, NJ 07928

1436 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 429-8000

2200 Wallace Blvd
Ste E
Cinnaminson, NJ 08077
Phone (856) 829-0015

23204 Columbus Rd
#2
Columbus, NJ 08022

210 North Ave E
Ste 1
Cranford, NJ 07016
Phone (908) 276-0237

3155 State Route 10
Ste 8
Denville, NJ 07834
Phone (856) 519-5780

123 E Main St
Ste 4
Denville, NJ 07834
Phone (973) 625-0744

1692 Clements Bridge Rd
Ste K
Deptford, NJ 08096

3 Lexington Ave
Ste 203
East Brunswick, NJ 08816
Phone (732) 504-3232

300A Princeton Hightstown Rd
Ste 201
East Windsor, NJ 08520
Phone (609) 426-4442

300 Princeton Hightstown Rd
East Windsor, NJ 08520
Phone (609) 426-9200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP		 235Z00000X NJ

Addresses

Primary practice location

79 Hudson St
Hoboken, NJ 07030-5602

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Other providers in Hoboken, NJ

All providers in Hoboken, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.