Advanced Rehabilitative Medicine Associates PC
Organization Active NPI Physical Medicine & Rehabilitation Physician · Wayne, NJ
NPI 1295853950 · NPPES record last updated Feb 24, 2010
Key facts
- NPI
- 1295853950
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- MB063024 (NJ)
- Legal business name
- ADVANCED REHABILITATIVE MEDICINE ASSOCIATES PC
- Practice address
- 224 Hamburg Tpke
Room 714
Wayne, NJ 07470-2111 - Phone
- (973) 956-3764
- Fax
- (973) 389-4069
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Supriya Massood
- Title
- President
- Phone
- (201) 891-7799
Practitioners 6
-
Tyra Lee, NURSE PRACTITIONER
-
Supriya M Parowski, D.O.
-
Valona Toska, PA
-
Patrick N Gilliland, PA-C
-
James D Girardy, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050323000321 | NJ | Part B Supplier - Clinic/Group Practice | 3971559964 |
Receives reassigned benefits from 4 practitioners Practice locations: Paterson, NJ; Wayne, NJ; West Orange, NJ |
National Provider Directory
Locations
938 Spring Valley Rd
Ste 2
Maywood, NJ 07607
39 Birch St
Paterson, NJ 07522
Phone (973) 942-8899
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | MB063024 | NJ | Yes |
Addresses
Primary practice location
224 Hamburg Tpke
Room 714
Wayne, NJ 07470-2111
Mailing address
357 Algonquin Rd
Franklin Lakes, NJ 07417-1001
Other providers in Wayne, NJ
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- Advanced Practice Group LLC
- Advanced Prosthodontics and Implant Center, LLC
- Advanced Rehabiliation Medical Service LLC
- Advocacy and Empowerment
- Advocare , LLC
- Advocare , LLC
- Aesthetic and Surgical Specialist, PC
- Aesthetic Smiles of Wayne Professional Association
All providers in Wayne, NJ · Physical Medicine & Rehabilitation Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.