Organization Active NPI

Rejuvenate Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Englewood, NJ
National Provider Identifier
1346480738
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01187800 Issued in NJ
Legal business name
REJUVENATE REHABILITATION CENTER
Practice address
300 Grand Ave
Suite 101
Englewood, NJ 07631-4398
Phone
(201) 408-5525
Fax
(201) 408-5526
NPI assigned
Feb 25, 2009
Last updated
Oct 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Mr. Valentine Divina Villarba, RPTNPI 1427147545
Title
Owner
Phone
(201) 334-6991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01187800 NJ Primary

Addresses

Primary practice location

300 Grand Ave
Suite 101
Englewood, NJ 07631-4398

Mailing address

300 Grand Ave
Suite 101
Englewood, NJ 07631-4398
Phone (201) 408-5525

National Provider Directory

National Provider Directory

Locations

887 Franklin Ave
Newark, NJ 07107
Phone (201) 408-5525

887 Franklin Ave
Newark, NJ 07107
Phone (201) 408-5525

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1346480738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GRAND AVE",
            "address_2": "SUITE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314398",
            "telephone_number": "201-408-5525",
            "fax_number": "201-408-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GRAND AVE",
            "address_2": "SUITE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314398",
            "telephone_number": "201-408-5525",
            "fax_number": "201-408-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "VILLARBA",
        "authorized_official_first_name": "VALENTINE",
        "authorized_official_middle_name": "DIVINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-334-6991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01187800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.