NPIMap

Organization Active NPI

NL Rehab & Performance, LLC

  • Physical Medicine & Rehabilitation Physician
  • Woodcliff Lake, NJ
National Provider Identifier
1548769706
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
40QA009832 Issued in NJ
Legal business name
NL REHAB & PERFORMANCE, LLC
Practice address
123 Broadway
Woodcliff Lake, NJ 07677-8091
Phone
(201) 746-9966
Fax
(866) 676-0079
NPI assigned
Feb 2, 2018
Last updated
Feb 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
Mrs. Coleen Tomlinson
Title
Credentialing Manager
Phone
(516) 771-7554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 40QA009832 NJ Primary

Addresses

Primary practice location

123 Broadway
Woodcliff Lake, NJ 07677-8091

Mailing address

123 Broadway
Woodcliff Lake, NJ 07677-8091
Phone (201) 746-9966

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1548769706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BROADWAY",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778091",
            "telephone_number": "201-746-9966",
            "fax_number": "866-676-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BROADWAY",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778091",
            "telephone_number": "201-746-9966",
            "fax_number": "866-676-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NL REHAB & PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "516-771-7554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA009832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodcliff Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.