NPIMap

Organization Active NPI

Universal Rehabilitation & Fitness Center Inc

Doing business as Universal Institute Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Long Branch, NJ
National Provider Identifier
1649651746
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
UNIVERSAL REHABILITATION & FITNESS CENTER INC
Doing business as
Universal Institute Inc
Practice address
73B Dudley St
Long Branch, NJ 07740-5956
Phone
(732) 963-9446
Fax
(732) 272-1574
NPI assigned
Jun 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Mr. Michael Scudillo
Title
Chief Compliance Officer
Phone
(973) 992-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NJ Primary

Addresses

Primary practice location

73B Dudley St
Long Branch, NJ 07740-5956

Mailing address

15 Microlab Rd
Livingston, NJ 07039-1623
Phone (973) 992-8181

Other identifiers 1

IdentifierTypeStateIssuer
7340401MedicaidNJ

Other names 1

  • Universal Institute Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Universal Institute47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Locations

15 Microlab Rd
Livingston, NJ 07039

73B Dudley St
Long Branch, NJ 07740
Phone (732) 963-9446

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": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1649651746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MICROLAB RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391623",
            "telephone_number": "973-992-8181",
            "fax_number": "973-992-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73B DUDLEY ST",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405956",
            "telephone_number": "732-963-9446",
            "fax_number": "732-272-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL REHABILITATION & FITNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "SCUDILLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "973-992-8181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7340401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Institute Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.