NPIMap

Organization Active NPI

Mid Atlantic Rehabilitation Consultants, LLC

  • Physical Medicine & Rehabilitation Physician
  • Tinton Falls, NJ
National Provider Identifier
1639109887
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MID ATLANTIC REHABILITATION CONSULTANTS, LLC
Practice address
2 Center PLZ
Medical Suite
Tinton Falls, NJ 07724-9744
Phone
(732) 460-5360
Fax
(732) 460-7442
NPI assigned
Jul 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edgardo Baerga, M.D.NPI 1912957895
Title
President
Phone
(732) 460-5360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2 Center PLZ
Medical Suite
Tinton Falls, NJ 07724-9744

Mailing address

2 Center PLZ
Medical Suite
Tinton Falls, NJ 07724-9744
Phone (732) 460-5360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100528000165 NJ Part B Supplier - Clinic/Group Practice 6002945102 Receives reassigned benefits from 11 practitioners
Practice locations: Neptune, NJ; Tinton Falls, NJ

National Provider Directory

National Provider Directory

Locations

2 Centre Plz
#F
Tinton Falls, NJ 07724
Phone (732) 460-5360

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639109887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CENTER PLZ",
            "address_2": "MEDICAL SUITE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077249744",
            "telephone_number": "732-460-5360",
            "fax_number": "732-460-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTER PLZ",
            "address_2": "MEDICAL SUITE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077249744",
            "telephone_number": "732-460-5360",
            "fax_number": "732-460-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC REHABILITATION CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAERGA",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-460-5360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.