Organization Active NPI

Cedar Crest

  • Rehabilitation Clinic/Center
  • Pompton Plains, NJ
National Provider Identifier
1417383985
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CEDAR CREST
Practice address
1 Cedar Crest Dr
Pompton Plains, NJ 07444-2100
Phone
(973) 831-3670
NPI assigned
Sep 17, 2013
Last updated
Sep 17, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CEDAR CRESTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Catherine Gallo
Title
SLP
Phone
(516) 840-5823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

1 Cedar Crest Dr
Pompton Plains, NJ 07444-2100

Mailing address

210 Clinton St Apt 3C
Hoboken, NJ 07030-8569

National Provider Directory

National Provider Directory
Part of
Cedar Crest

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1417383985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CLINTON ST APT 3C",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CEDAR CREST DR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442100",
            "telephone_number": "973-831-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CEDAR CREST",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "516-840-5823"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.