Mentor Abi, LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

MENTOR ABI, LLC

Doing business as

Neurorestorative New Jersey

Practice address

115 Evans CT
Mount Laurel, NJ 08054-4202

Phone

(856) 824-2907

NPI assigned

Sep 27, 2017

Organization subpart

No

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

Authorized official

Name

Sergio P Cruz

Title

Chief Financial Officer

Phone

(781) 708-9444

Specialties & licenses 1

Addresses

Other names 1

• Neurorestorative New Jersey Doing business as

Tax ID family

Mentor Abi37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

• Mentor Abi

  dba Neurorestorative New Jersey

  • Rehabilitation Hospital
  • Galloway, NJ
  • NPI 1265908388
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative New Jersey

  • Rehabilitation Hospital
  • Mount Laurel, NJ
  • NPI 1740596568
  NPD tax ID
• Mentor Abi, LLC

  dba Neurorestorative New Jersey

  • Rehabilitation Hospital
  • Delran, NJ
  • NPI 1386153922
  NPD tax ID
• Mentor Abi, LLC

  dba Neurorestorative New Jersey

  • Rehabilitation Hospital
  • Mount Laurel, NJ
  • NPI 1396254959
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative New

  • Rehabilitation Hospital
  • Braintree, MA
  • NPI 1013236124
  NPD tax ID
• Mentor Abi

  dba Pleasanton

  • Rehabilitation Hospital
  • Pleasanton, CA
  • NPI 1023338639
  NPD tax ID
• Mentor Abi

  dba Scottsdale

  • Rehabilitation Hospital
  • Scottsdale, AZ
  • NPI 1366762296
  NPD tax ID
• Mentor Abi

  dba Oregon Orchid

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
  • NPI 1558686576
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative Rhode Island

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Charlestown, RI
  • NPI 1639476617
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative Wisconsin

  • Mental Illness Community Based Residential Treatment Facility
  • Waterford, WI
  • NPI 1649574252
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative Pennsylvania

  • Assisted Living Facility
  • Fairview, PA
  • NPI 1922322502
  NPD tax ID
• Mentor Abi, LLC

  dba NeuroRestorative Maine

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sebago, ME
  • NPI 1033426739
  NPD tax ID

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1679082234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WASHINGTON ST STE 306",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EVANS CT",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544202",
            "telephone_number": "856-824-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR ABI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "781-708-9444"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurorestorative New Jersey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherin Mary Thomas Meledathu, D.O.
• Jason Melnyk, OTR/L,MS, CEAS II
• Alfred Donald Meltzer, M.D.
• Mentor Abi (NeuroRestorative New Jersey)
• Mentor Abi, LLC (Neurorestorative New Jersey)
• George Alberto Mercado
• Mercy Diagnostics Inc
• Casey Merget
• Meridian Behavioral Pathways LLC
• Salvatore Montana Messina, DO

• Rehabilitation Hospital in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Rehabilitation Hospital in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.