Organization Active NPI

Rejuvenations Medical and Rehabilitation PC

  • Health Service Clinic/Center
  • Huntingdon Valley, PA
National Provider Identifier
1467902320
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
DC005950L Issued in PA
Legal business name
REJUVENATIONS MEDICAL AND REHABILITATION PC
Practice address
1880 Lippincott Rd
Huntingdon Valley, PA 19006-7925
Phone
(215) 681-1550
Fax
(215) 305-3300
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Dr. Jeffrey H Sorkin, D.C.
Title
President and Secretary
Phone
(215) 681-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X DC005950L PA Primary

Addresses

Primary practice location

1880 Lippincott Rd
Huntingdon Valley, PA 19006-7925

Mailing address

1880 Lippincott Rd
Huntingdon Valley, PA 19006-7925
Phone (215) 681-1550

Other identifiers 1

IdentifierTypeStateIssuer
3162829MedicaidPA

Other names 1

  • REJUVENATIONS MEDICAL & REHAB PC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1467902320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LIPPINCOTT RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067925",
            "telephone_number": "215-681-1550",
            "fax_number": "215-305-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LIPPINCOTT RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067925",
            "telephone_number": "215-681-1550",
            "fax_number": "215-305-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATIONS MEDICAL AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "SORKIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "215-681-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PA",
            "license": "DC005950L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3162829",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REJUVENATIONS MEDICAL & REHAB PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.