Advanced Essential Rehab Care, LLC

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

Legal business name

ADVANCED ESSENTIAL REHAB CARE, LLC

Practice address

642 Newark Ave
Jersey City, NJ 07306-2380

Phone

(201) 962-8454

Fax

(201) 786-9161

NPI assigned

May 20, 2022

Organization subpart

No

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

Authorized official

Name

Samira Nasab, MS, OTR, CHTNPI 1427064740

Title

Owner

Phone

(201) 786-9161

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.

• Samira Nasab, OTR/CHT

  • Hand Occupational Therapist
  • Ramsey, NJ
  • NPI 1427064740

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1558009597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062380",
            "telephone_number": "201-962-8454",
            "fax_number": "201-786-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062380",
            "telephone_number": "201-962-8454",
            "fax_number": "201-786-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ESSENTIAL REHAB CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "NASAB",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-786-9161",
        "authorized_official_credential": "MS, OTR, CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hand Occupational Therapist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Hand Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.