Organization Active NPI

Rehabilitation Medicine Associates,P.a.

  • Specialist
  • West Orange, NJ
National Provider Identifier
1487753588
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
REHABILITATION MEDICINE ASSOCIATES,P.A.
Practice address
345 Main St
West Orange, NJ 07052-5700
Phone
(973) 325-8388
Fax
(973) 325-8488
NPI assigned
Sep 22, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Joann Koutouzakis
Title
Office Manager
Phone
(973) 325-8388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NJ Primary

Addresses

Primary practice location

345 Main St
West Orange, NJ 07052-5700

Mailing address

345 Main St
West Orange, NJ 07052-5700
Phone (973) 325-8388

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487753588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525700",
            "telephone_number": "973-325-8388",
            "fax_number": "973-325-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525700",
            "telephone_number": "973-325-8388",
            "fax_number": "973-325-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION MEDICINE ASSOCIATES,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOUTOUZAKIS",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-325-8388",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.