First Rehab South Amboy LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

FIRST REHAB SOUTH AMBOY LLC

Doing business as

First Rehab Outpatient Therapy Provider

Practice address

404 Main St
Site a
Spotswood, NJ 08884-1794

Phone

(732) 254-1990

Fax

(732) 254-1551

NPI assigned

Jan 16, 2007

Last updated

Jul 27, 2007By 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

Yaakov Friedman

Title

Managing Member

Phone

(732) 886-1900

Specialties & licenses 1

Addresses

Other names 1

• First Rehab Outpatient Therapy Provider Doing business as

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1326199084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4557 US HIGHWAY 9",
            "address_2": "SUITE 202",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313382",
            "telephone_number": "732-886-1900",
            "fax_number": "732-886-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MAIN ST",
            "address_2": "SITE A",
            "city": "SPOTSWOOD",
            "state": "NJ",
            "postal_code": "088841794",
            "telephone_number": "732-254-1990",
            "fax_number": "732-254-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST REHAB SOUTH AMBOY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "YAAKOV",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-886-1900"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Rehab Outpatient Therapy Provider",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amanda Gagnon, MA, CCC-SLP

• Rehabilitation Clinic/Center in Spotswood, NJ
• Providers in Spotswood, NJ by specialty
• Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.