Organization Active NPI

Rehab Care Associates LLC

  • Rehabilitation Practitioner
  • Marlton, NJ
National Provider Identifier
1407974892
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
REHAB CARE ASSOCIATES LLC
Practice address
230 N Maple Ave
Suite B1
Marlton, NJ 08053-9400
Phone
(732) 281-3590
Fax
(732) 281-0054
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Colette Siddons
Title
Billing
Phone
(732) 281-3590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

230 N Maple Ave
Suite B1
Marlton, NJ 08053-9400

Mailing address

230 N Maple Ave
Suite B1
Marlton, NJ 08053-9400
Phone (732) 281-3590

Other identifiers 1

IdentifierTypeStateIssuer
0096954MedicaidNJ

National Provider Directory

National Provider Directory

Locations

230 N Maple Ave
Ste B1
Marlton, NJ 08053
Phone (856) 334-2000

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407974892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MAPLE AVE",
            "address_2": "SUITE B1",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539400",
            "telephone_number": "732-281-3590",
            "fax_number": "732-281-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MAPLE AVE",
            "address_2": "SUITE B1",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539400",
            "telephone_number": "732-281-3590",
            "fax_number": "732-281-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIDDONS",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "732-281-3590"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096954",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.