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Ivyrehab Network, Inc.

Organization Active NPI Physical Medicine & Rehabilitation Physician · Garwood, NJ

NPI 1497586416 · NPPES record last updated Aug 12, 2024

Key facts

NPI
1497586416
Entity type
Organization (NPI type 2)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
Legal business name
IVYREHAB NETWORK, INC.
Practice address
300 South Ave Ste 14
Garwood, NJ 07027-1349
Phone
(908) 789-1700
NPI assigned
Aug 12, 2024
Organization subpart
No

Authorized official

Name
Ashley Griffiths
Title
Director of Payer Relations
Phone
(732) 678-6119

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 658

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 658

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250211002802 NJ DME Supplier - Independently-Practicing Occupational Therapist
DME Supplier - Independently-Practicing Physical Therapist		 3476539776 Practice locations: Garwood, NJ

National Provider Directory

Tax ID family
Ivyrehab Network Inc (15 organizations share this tax ID)

Locations

300 South Ave
Ste 14
Garwood, NJ 07027
Phone (908) 232-4888

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208100000X Yes
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X

Addresses

Primary practice location

300 South Ave Ste 14
Garwood, NJ 07027-1349

Mailing address

PO Box 416495
Boston, MA 02241-6495

Other providers in Garwood, NJ

All providers in Garwood, NJ · Physical Medicine & Rehabilitation Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.