Magnificent Healthcare and Rehab Services LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

40QA00629500 Issued in NJ

Legal business name

MAGNIFICENT HEALTHCARE AND REHAB SERVICES LLC

Practice address

1030 Saint Georges Ave # LL3
Avenel, NJ 07001-1390

Phone

(732) 762-8346

Fax

(732) 750-5550

NPI assigned

Apr 30, 2010

Last updated

Apr 30, 2010By 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

Anil Singh

Title

Maneger

Phone

(732) 762-8346

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1356668305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE # LL3",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011390",
            "telephone_number": "732-762-8346",
            "fax_number": "732-750-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE # LL3",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011390",
            "telephone_number": "732-762-8346",
            "fax_number": "732-750-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFICENT HEALTHCARE AND REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "MANEGER",
        "authorized_official_telephone_number": "732-762-8346"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": "40QA00629500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nataliya Lizanets, NP
• Michael T Lu, MD
• Mydung Lu, D.D.S
• Warren Christian Madsen, DMD
• Jaime Magsino, D.D.S
• Elizabeth Magyarits
• Anna Makarova
• Sara Mangelsdorf
• Richard Mann, D.M.D

• Rehabilitation Clinic/Center in Avenel, NJ
• Providers in Avenel, 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 Apr 30, 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.