Organization Active NPI

BRC Rehabilitation

  • Health Service Clinic/Center
  • Fair Lawn, NJ
National Provider Identifier
1396972071
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BRC REHABILITATION
Practice address
24-20 Broadway
Fair Lawn, NJ 07410-3057
Phone
(201) 797-1177
NPI assigned
Jun 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Zhanna Basina
Title
President
Phone
(973) 418-1044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NJ Primary

Addresses

Primary practice location

24-20 Broadway
Fair Lawn, NJ 07410-3057

Mailing address

24-20 Broadway
Fair Lawn, NJ 07410-3057

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1396972071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24-20 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24-20 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103057",
            "telephone_number": "201-797-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "BASINA",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-418-1044"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.