Organization Active NPI

Andover Subacute & Rehab Center Services One Inc

  • Durable Medical Equipment & Medical Supplies
  • Lafayette, NJ
National Provider Identifier
1497828727
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ANDOVER SUBACUTE & REHAB CENTER SERVICES ONE INC
Practice address
1 Obrien Lane
Lafayette, NJ 07848
Phone
(973) 383-6200
Fax
(973) 940-1178
NPI assigned
Nov 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Carla Turco Kipiani
Title
Owner President
Phone
(201) 460-8904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1 Obrien Lane
Lafayette, NJ 07848

Mailing address

PO Box 507
Lyndhurst, NJ 07071-0507
Phone (201) 460-8904

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497828727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 507",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070710507",
            "telephone_number": "201-460-8904",
            "fax_number": "201-460-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OBRIEN LANE",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "07848",
            "telephone_number": "973-383-6200",
            "fax_number": "973-940-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER SUBACUTE & REHAB CENTER SERVICES ONE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIPIANI",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "TURCO",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "201-460-8904",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.