Organization Active NPI

Rehabilitation Medicine Center of New Jersey P.a.

  • Rehabilitation Clinic/Center
  • Wayne, NJ
National Provider Identifier
1275548653
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REHABILITATION MEDICINE CENTER OF NEW JERSEY P.A.
Practice address
1350 State Route 23
Wayne, NJ 07470-5839
Phone
(973) 709-9200
Fax
(973) 709-9207
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Dr. Robert David Kramberg, M.D.NPI 1154499549
Title
Director
Phone
(973) 709-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1350 State Route 23
Wayne, NJ 07470-5839

Mailing address

1350 State Route 23
Wayne, NJ 07470-5839
Phone (973) 709-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080702000121 NJ Part B Supplier - Clinic/Group Practice 3779655089 Receives reassigned benefits from 4 practitioners
Practice locations: Wayne, NJ

National Provider Directory

National Provider Directory

Locations

1350 State Route 23
Wayne, NJ 07470
Phone (973) 628-4671

Practitioners & affiliated clinicians

Practitioners 4

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1275548653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 STATE ROUTE 23",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705839",
            "telephone_number": "973-709-9200",
            "fax_number": "973-709-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 STATE ROUTE 23",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705839",
            "telephone_number": "973-709-9200",
            "fax_number": "973-709-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION MEDICINE CENTER OF NEW JERSEY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "KRAMBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-709-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.