NPIMap

Organization Active NPI

Cedar Crest Village Inc

Doing business as Outpatient Rehabilitation Agency at Cedar Crest

  • Rehabilitation Clinic/Center
  • Pompton Plains, NJ
National Provider Identifier
1437102282
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CEDAR CREST VILLAGE INC
Doing business as
Outpatient Rehabilitation Agency at Cedar Crest
Practice address
1 Cedar Crest Village Drive
Attn: Rehabilitation Manager
Pompton Plains, NJ 07444-2100
Phone
(973) 831-3500
Fax
(410) 204-7237
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Christopher J Rathmann
Title
Assistant Treasurer
Phone
(410) 402-2390

Specialties & licenses 1

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

Addresses

Primary practice location

1 Cedar Crest Village Drive
Attn: Rehabilitation Manager
Pompton Plains, NJ 07444-2100

Mailing address

1 Cedar Crest Village Drive
Attn: Executive Director
Pompton Plains, NJ 07444-2100
Phone (973) 831-3500

Other names 1

  • OUTPATIENT REHABILITATION AGENCY AT CEDAR CREST Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080129000308 NJ Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0446226211 Practice locations: Pompton Plains, NJ

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Cedar Crest Village Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1 Cedar Crest Village Dr
Fl 1
Pompton Plains, NJ 07444
Phone (973) 831-3717

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1437102282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CEDAR CREST VILLAGE DRIVE",
            "address_2": "ATTN: EXECUTIVE DIRECTOR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442100",
            "telephone_number": "973-831-3500",
            "fax_number": "410-204-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CEDAR CREST VILLAGE DRIVE",
            "address_2": "ATTN: REHABILITATION MANAGER",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442100",
            "telephone_number": "973-831-3500",
            "fax_number": "410-204-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREST VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "RATHMANN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSISTANT TREASURER",
        "authorized_official_telephone_number": "410-402-2390"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUTPATIENT REHABILITATION AGENCY AT CEDAR CREST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.