Bluemark Rehab LLC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

BLUEMARK REHAB LLC

Practice address

9 Kenyon Dr
Lakewood, NJ 08701-4754

Phone

(718) 687-0227

NPI assigned

Feb 14, 2022

Organization subpart

No

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

Authorized official

Name

Debra KornbluhNPI 1932440716

Title

Manager

Phone

(718) 207-7735

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, FL2 enrollments

Enrollment records 2

Locations

Practitioners 8

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

• Debra Kornbluh

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1932440716

  FL, NJ

  Medicare reassignment Care Compare group Authorized official
• Jessica Digennaro

  • Occupational Therapist
  • Brick, NJ
  • NPI 1740928720
  Medicare reassignment Care Compare group NPD
• Shira Hirsch, OTR/L

  • Occupational Therapist
  • Toms River, NJ
  • NPI 1184070146
  Medicare reassignment Care Compare group NPD
• Esther Levin, OTR/L

  • Occupational Therapist
  • Jackson, NJ
  • NPI 1902655475
  Medicare reassignment Care Compare group NPD
• Kimberly Reinert

  • Occupational Therapist
  • Jackson, NJ
  • NPI 1124397344
  Medicare reassignment Care Compare group NPD
• Liora Stolbach

  • Occupational Therapist
  • Belmar, NJ
  • NPI 1013578400
  Medicare reassignment Care Compare group NPD
• Nechama Tatel, OTRL

  • Occupational Therapist
  • Lakewood, NJ
  • NPI 1578278628
  Medicare reassignment Care Compare group NPD
• Tsippora Winkelstein, OTR/L

  • Occupational Therapist
  • Far Rockaway, NY
  • NPI 1396453338

  FL

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1548915960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KENYON DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 KENYON DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014754",
            "telephone_number": "718-687-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEMARK REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "KORNBLUH",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-207-7735"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Practitioner in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Rehabilitation Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.