Donnelly Rehabilitation Services

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

46TR00329400 Issued in NJ

Legal business name

DONNELLY REHABILITATION SERVICES

Practice address

395 Claremont Ave
#2
Montclair, NJ 07042-1879

Phone

(609) 529-7194

NPI assigned

Jan 16, 2012

Organization subpart

No

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

Authorized official

Name

James Vincent Donnelly, OT

Title

Ceo

Phone

(609) 529-7194

Specialties & licenses 1

Addresses

Practitioners 1

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

• Janel Modoski

  • Speech-Language Pathologist
  • Montclair, NJ
  • NPI 1184984197
  NPD (past)

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1548531015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WATCHUNG PLZ",
            "address_2": "#346",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424117",
            "telephone_number": "862-596-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 CLAREMONT AVE",
            "address_2": "#2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070421879",
            "telephone_number": "609-529-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNELLY REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-529-7194",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": "46TR00329400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Ann Ditullio, LCSW
• Divya Robin LMHC Psychotherapy PLLC
• Nonkulie Zweli Dladla, MD
• Mark Dodd, LCSW
• Jill S. Domanski, LCSW
• James Vincent Donnelly, OT
• Meghan Donnelly, OTR/L
• Tara F. Donnelly, PH.D
• Wendy Donnelly, LCSW
• Jeffrey Doorn, LCSW

• Rehabilitation Clinic/Center in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.