Organization Active NPI

Comprehensive Pain and Rehabilitation Center P.a.

  • Physical Medicine & Rehabilitation Physician
  • Mercerville, NJ
National Provider Identifier
1639482425
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA05867000 Issued in NJ
Legal business name
COMPREHENSIVE PAIN AND REHABILITATION CENTER P.A.
Practice address
2333 Whitehorse Mercerville Rd
Suite 8
Mercerville, NJ 08619-1946
Phone
(609) 588-0540
Fax
(609) 588-0197
NPI assigned
Jul 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Dr. Dorota M Gribbin, MDNPI 1003951112
Title
Owner
Phone
(609) 588-0540

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 SINGLE SPECIALTY GROUP 208100000X 25MA05867000 NJ Primary

Addresses

Primary practice location

2333 Whitehorse Mercerville Rd
Suite 8
Mercerville, NJ 08619-1946

Mailing address

234 N Harrison St
Princeton, NJ 08540-3507
Phone (609) 588-0540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100802000162 NJ Part B Supplier - Clinic/Group Practice 7719010479 Receives reassigned benefits from 4 practitioners
Practice locations: Hamilton, NJ

National Provider Directory

National Provider Directory

Locations

369 Applegarth Rd
Ste 4
Monroe Twp, NJ 08831

Practitioners & affiliated clinicians

Practitioners 4

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": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1639482425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403507",
            "telephone_number": "609-588-0540",
            "fax_number": "609-588-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 8",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191946",
            "telephone_number": "609-588-0540",
            "fax_number": "609-588-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN AND REHABILITATION CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "GRIBBIN",
        "authorized_official_first_name": "DOROTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-588-0540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA05867000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.