Individual provider Active NPI

Joelle Stabile Rehberg, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Morristown, NJ
National Provider Identifier
1477640837
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
25MB06988300 Issued in NJ
Practice address
310 Madison Ave
Suite 200
Morristown, NJ 07960-6967
Phone
(973) 285-7800
Fax
(973) 285-7839
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB06988300 NJ
Sports Medicine (Family Medicine) Physician 207QS0010X 25MB06988300 NJ Primary

Addresses

Primary practice location

310 Madison Ave
Suite 200
Morristown, NJ 07960-6967

Mailing address

310 Madison Ave
Suite 200
Morristown, NJ 07960-6967
Phone (973) 285-7800

Other identifiers 1

IdentifierTypeStateIssuer
0093386MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Montville Family Practice Associates, PA Family Medicine Past Accepting new patients
Sportscare of America, PC PastSince Sep 14, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jrehberg1275717@ahs.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1477640837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MADISON AVE",
            "address_2": "SUITE 200",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606967",
            "telephone_number": "973-285-7800",
            "fax_number": "973-285-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MADISON AVE",
            "address_2": "SUITE 200",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606967",
            "telephone_number": "973-285-7800",
            "fax_number": "973-285-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHBERG",
        "first_name": "JOELLE",
        "middle_name": "STABILE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06988300",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MB06988300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093386",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.