KW Rehab LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA06591200 Issued in NJ

Legal business name

KW REHAB LLC

Practice address

92 Brick Rd
Marlton, NJ 08053-2177

Phone

(732) 281-3590

Fax

(732) 281-0054

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Wu, MDNPI 1275565392

Title

Medical Doctor

Phone

(732) 281-3590

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Kenneth Wu, MD

  • Physical Medicine & Rehabilitation Physician
  • Cherry Hill, NJ
  • NPI 1275565392
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316070311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VERSAILLES BLVD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080035133",
            "telephone_number": "732-281-3590",
            "fax_number": "732-281-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BRICK RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532177",
            "telephone_number": "732-281-3590",
            "fax_number": "732-281-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KW REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "732-281-3590",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA06591200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roman Krol, M.D.
• Joseph W. Krotec, MD
• Jennifer Krott, OT
• Amit P Kurani, MD
• Oumar Kuzbari, M.D.
• Alan Fay Kwon, MD
• Lan Kycia
• Kyle Miceli LLC
• Elizabeth Joan Lafferty, OTR/L
• Alexandra Lahurd, PA-C

• Physical Medicine & Rehabilitation Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.