Organization Active NPI

Prime Rehabilitation Services, Inc

  • Nursing Facility/Intermediate Care Facility
  • Lakewood, NJ
National Provider Identifier
1285807602
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
PRIME REHABILITATION SERVICES, INC
Practice address
20 13TH St
Lakewood, NJ 08701-1979
Phone
(732) 901-9386
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Rochel Krohn, OTRNPI 1629241633
Title
Occupational Therapist
Phone
(732) 901-9386

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
Nursing Facility/Intermediate Care Facility 313M00000X NJ Primary

Addresses

Primary practice location

20 13TH St
Lakewood, NJ 08701-1979

Mailing address

20 13TH St
Lakewood, NJ 08701-1979
Phone (732) 901-9386

Other identifiers 1

IdentifierTypeStateIssuer
1530337951-05MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285807602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 13TH ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011979",
            "telephone_number": "732-901-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 13TH ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011979",
            "telephone_number": "732-901-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME REHABILITATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "ROCHEL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "732-901-9386",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530337951-05",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.