The Rehabilitation Group of Pennsylvania, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

381402 Issued in PA

Legal business name

THE REHABILITATION GROUP OF PENNSYLVANIA, INC.

Practice address

615 Wyoming Ave
Kingston, PA 18704-3703

Phone

(570) 288-5496

Fax

(570) 288-8335

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Howard Jaffe

Title

President

Phone

(215) 346-6454

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kingston Commons Doing business as

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1629072152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 PALM BEACH LAKES BVLD",
            "address_2": "SUITE 900",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-801-7600",
            "fax_number": "414-268-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043703",
            "telephone_number": "570-288-5496",
            "fax_number": "570-288-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REHABILITATION GROUP OF PENNSYLVANIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-346-6454"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "381402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007716300003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingston Commons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Ann Tanona, FNP-C
• Paul Thomas Taren, PH.D.
• Christy Taylor, PHARMD
• The Hearing Center of Northeast Pennsylvania LLC
• The Milton S. Hershey Medical Center Physician Group
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• Kearston Thomas
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• Stephen M Timchack, PSYD, BCBA-D
• Brenda Miller Tocket, PMHNP-BC

• All providers in Kingston, PA
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.