Organization Active NPI

Sam Rehab Consultant,LLC

  • Physical Therapy Clinic/Center
  • Secaucus, NJ
National Provider Identifier
1316379407
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00577000 Issued in NJ
Legal business name
SAM REHAB CONSULTANT,LLC
Practice address
280 Maple St
Secaucus, NJ 07094-3706
Phone
(201) 417-9556
Fax
(201) 863-0944
NPI assigned
Jul 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Dr. Isam M Shahin, DPTNPI 1487850269
Title
DPT
Phone
(201) 417-9556

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
Physical Therapy Clinic/Center 261QP2000X 40QA00577000 NJ Primary

Addresses

Primary practice location

280 Maple St
Secaucus, NJ 07094-3706

Mailing address

280 Maple St
Secaucus, NJ 07094-3706
Phone (201) 417-9556

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": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1316379407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MAPLE ST",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943706",
            "telephone_number": "201-417-9556",
            "fax_number": "201-863-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAPLE ST",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943706",
            "telephone_number": "201-417-9556",
            "fax_number": "201-863-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM REHAB CONSULTANT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "SHAHIN",
        "authorized_official_first_name": "ISAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "201-417-9556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00577000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.