NPIMap

Organization Active NPI

Novacare

  • Physical Therapy Clinic/Center
  • Logan Township, NJ
National Provider Identifier
1295199537
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01660100 Issued in NJ
Legal business name
NOVACARE
Practice address
520 Beckett Rd
Logan Township, NJ 08085-1732
Phone
(856) 467-3421
NPI assigned
Apr 13, 2016
Organization subpart
Yes
Parent organization
SELECT MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Craig Blanda
Title
Center Manager
Phone
(856) 467-3421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01660100 NJ Primary

Addresses

Primary practice location

520 Beckett Rd
Logan Township, NJ 08085-1732

Mailing address

520 Beckett Rd
Logan Township, NJ 08085-1732

National Provider Directory

National Provider Directory
Tax ID family
Rci SPT NE47 organizations share this tax ID, including this one
Part of
Rci SPT NE

Other organizations with this tax ID 46

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

View all 46

Locations

520 Beckett Rd
Swedesboro, NJ 08085
Phone (856) 467-3421

Practitioners & affiliated clinicians

Practitioners 2

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": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1295199537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BECKETT RD",
            "city": "LOGAN TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BECKETT RD",
            "city": "LOGAN TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851732",
            "telephone_number": "856-467-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELECT MEDICAL",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "BLANDA",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CENTER MANAGER",
        "authorized_official_telephone_number": "856-467-3421"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01660100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.