Dr Rebman NJ PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DR REBMAN NJ PC

Practice address

25 E Lindsley Rd
Cedar Grove, NJ 07009-1023

Phone

(929) 650-3990

NPI assigned

Mar 18, 2026

Organization subpart

No

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

Authorized official

Name

Glen Rebman

Title

Owner

Phone

(929) 650-3990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1568310332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 28",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E LINDSLEY RD",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091023",
            "telephone_number": "929-650-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR REBMAN NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "REBMAN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-650-3990"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.