East Brunswick Rehabilitation LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA07870200 Issued in NJ

Legal business name

EAST BRUNSWICK REHABILITATION LLC

Practice address

65 Rues LN
East Brunswick, NJ 08816-4240

Phone

(718) 368-0100

Fax

(718) 368-1208

NPI assigned

Jun 24, 2011

Last updated

Dec 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Oleg Borisov, DC

Title

Member

Phone

(718) 368-0100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1659667970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RUES LANE",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164240",
            "telephone_number": "732-257-4444",
            "fax_number": "732-257-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RUES LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164240",
            "telephone_number": "718-368-0100",
            "fax_number": "718-368-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BRUNSWICK REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "BORISOV",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-368-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07870200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Brunswick Pediatrics Associated (Mid-Jersey Pediatrics, P.a.)
• East Brunswick Periodontics and Dental Implants
• East Brunswick Physical Therapy
• East Brunswick Primary Care, PA
• East Brunswick Public Schools
• East Brunswick Rescue Squad
• East Brunswick Senior Care, LLC (The Chelsea at East Brunswick)
• East Brunswick Surgery Center LLC (University SurgiCenter)
• East Coast Anesthesia LLC
• Easter Seals Financial Counseling Services LLC

• Physical Medicine & Rehabilitation Physician in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.