Organization Active NPI

Essex Rehabilitation, P.C.

  • Physical Medicine & Rehabilitation Physician
  • East Orange, NJ
National Provider Identifier
1568640274
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ESSEX REHABILITATION, P.C.
Practice address
280 South Harrison Street
Suite 215
East Orange, NJ 07018-1305
Phone
(973) 674-5511
Fax
(973) 674-4499
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Vadim Surikov, DO
Title
President
Phone
(973) 674-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

280 South Harrison Street
Suite 215
East Orange, NJ 07018-1305

Mailing address

280 South Harrison Street
Suite 215
East Orange, NJ 07018-1305
Phone (973) 674-5511

National Provider Directory

National Provider Directory

Locations

280 S Harrison St
Ste 215
East Orange, NJ 07018
Phone (973) 674-5511

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1568640274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SOUTH HARRISON STREET",
            "address_2": "SUITE 215",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181305",
            "telephone_number": "973-674-5511",
            "fax_number": "973-674-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SOUTH HARRISON STREET",
            "address_2": "SUITE 215",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181305",
            "telephone_number": "973-674-5511",
            "fax_number": "973-674-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "SURIKOV",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-674-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.