NPIMap

Organization Active NPI

Universal Rehabilitation & Fitness Center Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Long Branch, NJ
National Provider Identifier
1245695048
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
UNIVERSAL REHABILITATION & FITNESS CENTER INC
Doing business as
Universal Institute Inc
Practice address
245 Atlantic Ave
Long Branch, NJ 07740-7286
Phone
(732) 759-8549
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Michael Scudillo
Title
Chief Compliance Officer
Phone
(973) 992-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

245 Atlantic Ave
Long Branch, NJ 07740-7286

Mailing address

15 Microlab Rd Ste 17
Livingston, NJ 07039-1699
Phone (973) 992-8181

Other identifiers 1

IdentifierTypeStateIssuer
7340401MedicaidNJ

Other names 1

  • Universal Institute Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Universal Institute47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1245695048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MICROLAB RD STE 17",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391699",
            "telephone_number": "973-992-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ATLANTIC AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077407286",
            "telephone_number": "732-759-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL REHABILITATION & FITNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "SCUDILLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "973-992-8181"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7340401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Institute Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.