NJ Medical Rehabilitation, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NJ MEDICAL REHABILITATION, LLC

Practice address

53 Towsen Rd
Wayne, NJ 07470-2420

Phone

(347) 574-5585

NPI assigned

Apr 12, 2020

Organization subpart

No

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

Authorized official

Name

Mohammad Anisur Rahman, MD

Title

Sole MBR

Phone

(347) 574-5585

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586649600000",
    "number": "1457970279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2507",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074742507",
            "telephone_number": "347-574-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 TOWSEN RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702420",
            "telephone_number": "347-574-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ MEDICAL REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-12",
        "last_updated": "2020-04-12",
        "certification_date": "2020-04-12",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ANISUR",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "347-574-5585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Nicolette, PHARMD
• Leonard T Nicosia, M.D.
• Nicole Niescieruk, APN, RN
• NJ Healthcare Facilities Management LLC (Advanced Care Center at Lakeview)
• NJ Healthcare Facilities Management, LLC (Advanced Care Center at Lakeview)
• NJ Multi-Specialty Center PC
• Njsurgassist,LLC
• Noel S. Caragian, O.D.,P.a.
• Estania Noel, LPC
• Christine Nolan, OT

• Physical Medicine & Rehabilitation Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.