Jersey Rehab PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A178991-2 Issued in NY

Legal business name

JERSEY REHAB PA

Practice address

3146 E Tremont Ave
Bronx, NY 10461-5706

Phone

(718) 792-6503

Fax

(718) 792-0096

NPI assigned

Mar 8, 2007

Last updated

Jun 20, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

JERSEY REHAB PA PCAs reported in NPPES

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

Authorized official

Name

Robert A. Marini, MDNPI 1184656373

Title

MD

Phone

(973) 482-1614

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Jersey Rehab PA PC ( NY office only) Other name

Part of

Jersey Rehab PA PC

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/f0cfd11a-8550-4ab1-abda-1200b8b852fa/

Practitioners 1

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.

• Robert A Marini, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Belleville, NJ
  • NPI 1184656373
  Authorized official Same address or phone

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1265563738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NEWARK AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091123",
            "telephone_number": "973-482-1614",
            "fax_number": "973-485-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615706",
            "telephone_number": "718-792-6503",
            "fax_number": "718-792-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY REHAB PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JERSEY REHAB PA PC",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "MARINI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-482-1614",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "A178991-2",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "A178991-2",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME NUMBER FOR NJ - PTAN",
            "identifier": "6540890001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER FOR MEDICARE NJ - NY  AND NJ DME",
            "identifier": "1629005012",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Rehab PA PC ( NY office only)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jerome Pediatric P.C
• Jerome Pharmacy Inc (Jerome Pharmacy)
• Marissa Jerome, MS., CCC-SLP, TSSLD
• Rosny Lamartine Jerome, RBT
• Jerry G. Kaplan, M.D., P.C.
• Michelle Andrea Jervis, LMSW
• Alexandra Jerzynska, MD
• Allyson Marie Jessen, APRN, AGPCNP
• Tyreene A Jeter, PHARM.D
• Xavier Ky Jeter

• Physical Medicine & Rehabilitation Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.