Pelvic Rehabilitation Medicine, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PELVIC REHABILITATION MEDICINE, PC

Practice address

106 Grand Ave Ste 435
Englewood, NJ 07631-3574

Phone

(201) 266-3553

Fax

(201) 266-3545

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Linda Solimine

Title

Vice President, Operations

Phone

(561) 805-3873

Specialties & licenses 1

Addresses

Tax ID family

Pelvic Rehabilitation Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pelvic Rehabilitation Medicine, PC

  • Physical Medicine & Rehabilitation Physician
  • Florham Park, NJ
  • NPI 1598330565
  NPD tax ID

Locations

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1376104307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 PALM BEACH LAKES BLVD STE 700",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096508",
            "telephone_number": "207-752-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GRAND AVE STE 435",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313574",
            "telephone_number": "201-266-3553",
            "fax_number": "201-266-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC REHABILITATION MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2021-05-21",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "SOLIMINE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "VICE PRESIDENT, OPERATIONS",
        "authorized_official_telephone_number": "561-805-3873"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theophanis A Pavlou, MD
• Laura Lynn Pawlicky, PA-C
• Pediatric Eyecare of Northern Jersey, P.C.
• Pediatric Urology Associates of New Jersey, PC
• Ornit Peleg
• Wen-Chiao Peng, NP
• Nicholas Peppes, MS PT
• Sabrina Joyce Pereira
• Seth Perelman, MD
• Myrna R. Perez, CDN MPH

• Physical Medicine & Rehabilitation Physician in Englewood, NJ
• Providers in Englewood, 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 May 21, 2021; 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.