Organization Active NPI

Garden State Rehabilitation Services ,LLC.

  • Occupational Therapist
  • Fort Lee, NJ
National Provider Identifier
1396074894
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
GARDEN STATE REHABILITATION SERVICES ,LLC.
Practice address
2125 Center Ave Ste 207
Fort Lee, NJ 07024-5874
Phone
(201) 461-9595
Fax
(201) 569-3042
NPI assigned
Dec 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Mr. James Ressler
Title
President
Phone
(201) 461-9595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

2125 Center Ave Ste 207
Fort Lee, NJ 07024-5874

Mailing address

2125 Center Ave Ste 207
Fort Lee, NJ 07024-5874
Phone (201) 461-9595

National Provider Directory

National Provider Directory

Locations

2125 Center Ave
Ste 207
Fort Lee, NJ 07024
Phone (201) 461-9595

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1396074894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 CENTER AVE STE 207",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245874",
            "telephone_number": "201-461-9595",
            "fax_number": "201-569-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 CENTER AVE STE 207",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245874",
            "telephone_number": "201-461-9595",
            "fax_number": "201-569-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE REHABILITATION SERVICES ,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "RESSLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-461-9595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

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