NPIMap

Organization Active NPI

Parc-Pediatric and Adult Rehabilitation Center Limited Liability Compa

  • Rehabilitation Clinic/Center
  • Hillsborough, NJ
National Provider Identifier
1174704977
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
41YS00388300 Issued in NJ
Legal business name
PARC-PEDIATRIC AND ADULT REHABILITATION CENTER LIMITED LIABILITY COMPA
Practice address
390 Amwell Rd
Suite 104
Hillsborough, NJ 08844-1225
Phone
(732) 873-7600
Fax
(732) 873-7676
NPI assigned
Nov 20, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mrs. Gloria Yolanda Anderson-Ballard, MA, CCC-SLP
Title
President
Phone
(732) 873-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 41YS00388300 NJ Primary

Addresses

Primary practice location

390 Amwell Rd
Suite 104
Hillsborough, NJ 08844-1225

Mailing address

390 Amwell Rd
Suite 104
Hillsborough, NJ 08844-1225
Phone (732) 873-7600

National Provider Directory

National Provider Directory
Tax ID family
Parc-Pediatric and Adult Rehabilitation Center Limited Liability Compa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 9

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": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1174704977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "SUITE 104",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441225",
            "telephone_number": "732-873-7600",
            "fax_number": "732-873-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "SUITE 104",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441225",
            "telephone_number": "732-873-7600",
            "fax_number": "732-873-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARC-PEDIATRIC AND ADULT REHABILITATION CENTER LIMITED LIABILITY COMPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-BALLARD",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "YOLANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-873-7600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": "41YS00388300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.