NPIMap

Organization Active NPI

Strategic Rehabilitation Services, P.C.

  • Specialist
  • Freehold, NJ
National Provider Identifier
1477616266
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA060290 Issued in NJ
Legal business name
STRATEGIC REHABILITATION SERVICES, P.C.
Practice address
Strategic Rehabilitation Services, P.C.
495 Iron Bridge Rd.
Freehold, NJ 07728
Phone
(732) 780-8477
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. Evander Duck Jr., M.D. M.S.NPI 1679673636
Title
President
Phone
(732) 780-8477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA060290 NJ Primary

Addresses

Primary practice location

Strategic Rehabilitation Services, P.C.
495 Iron Bridge Rd.
Freehold, NJ 07728

Mailing address

Strategic Rehabilitation Services, P.C.
P.O. Box 190
Tennent, NJ 07763-0190
Phone (732) 780-8477

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1477616266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STRATEGIC REHABILITATION SERVICES, P.C.",
            "address_2": "P.O. BOX 190",
            "city": "TENNENT",
            "state": "NJ",
            "postal_code": "077630190",
            "telephone_number": "732-780-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STRATEGIC REHABILITATION SERVICES, P.C.",
            "address_2": "495 IRON BRIDGE RD.",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-780-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC REHABILITATION SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "DUCK",
        "authorized_official_first_name": "EVANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-780-8477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D. M.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA060290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.