Organization Active NPI

Claremont Medical and Rehabilitation Inc.

  • Home Health Aide
  • East Orange, NJ
National Provider Identifier
1598889198
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HP0020400 Issued in NJ
Legal business name
CLAREMONT MEDICAL AND REHABILITATION INC.
Practice address
134 Evergreen Place
Suite 404
East Orange, NJ 07018
Phone
(973) 673-2300
Fax
(973) 673-2295
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Authorized official

Name
Pius Essilfie-Obeng
Title
President and Ceo
Phone
(973) 673-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X HP0020400 NJ Primary

Addresses

Primary practice location

134 Evergreen Place
Suite 404
East Orange, NJ 07018

Mailing address

134 Evergreen Place
Suite 404
East Orange, NJ 07018
Phone (973) 673-2300

Other identifiers 4

IdentifierTypeStateIssuer
9130101MedicaidNJ
0011045MedicaidNJ
000000173217OtherNJANCILLARY SERVICE PROVIDE
0254541MedicaidNJ

National Provider Directory

National Provider Directory

Locations

134 Evergreen Pl
Ste 404
East Orange, NJ 07018
Phone (973) 673-2300

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1598889198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PLACE",
            "address_2": "SUITE 404",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-673-2300",
            "fax_number": "973-673-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PLACE",
            "address_2": "SUITE 404",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-673-2300",
            "fax_number": "973-673-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAREMONT MEDICAL AND REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "ESSILFIE-OBENG",
        "authorized_official_first_name": "PIUS",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "973-673-2300"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "NJ",
            "license": "HP0020400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9130101",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011045",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCILLARY SERVICE PROVIDE",
            "identifier": "000000173217",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254541",
            "state": "NJ"
        }
    ],
    "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 Dec 16, 2016; 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.