Andover Subacute and Rehab Center Services T Wo Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

061901 Issued in NJ

Legal business name

ANDOVER SUBACUTE AND REHAB CENTER SERVICES T WO INC

Practice address

99 Mulford Rd
Lafayette, NJ 07848-3614

Phone

(973) 383-6200

NPI assigned

Nov 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carla Turco Kipiani

Title

Owner President

Phone

(201) 460-8904

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467521526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070710536",
            "telephone_number": "201-460-8904",
            "fax_number": "201-460-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MULFORD RD",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "078483614",
            "telephone_number": "973-383-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER SUBACUTE AND REHAB CENTER SERVICES T WO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIPIANI",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "TURCO",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "201-460-8904",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "061901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andover Intermediate Care Center
• Andover Nursing & Convalescent Home
• Andover Rehab Center Services Two Inc
• Andover Subacute & Rehab Center Services One Inc
• Andover Subacute & Rehab Center Services One Inc
• Arc Ambulance Inc.
• Brittany Basurco, RBT
• Jeffrey D Belgrave, PH.D.
• Bemet LLC
• Amanda Marie Bermel

• Durable Medical Equipment & Medical Supplies in Lafayette, NJ
• Providers in Lafayette, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• 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.