NPIMap

Organization Active NPI

Central Jersey Rehabilitation Medicine, LLC

  • Physical Medicine & Rehabilitation Physician
  • Freehold, NJ
National Provider Identifier
1679520480
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CENTRAL JERSEY REHABILITATION MEDICINE, LLC
Practice address
55 Schanck Rd Ste a-6
Freehold, NJ 07728-2963
Phone
(732) 852-5542
Fax
(732) 631-8324
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Dr. Todd J. Cooperman, M.D.
Title
Owner
Phone
(732) 852-5542

Specialties & licenses 1

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

Addresses

Primary practice location

55 Schanck Rd Ste a-6
Freehold, NJ 07728-2963

Mailing address

8 S Main St Unit 226
Marlboro, NJ 07746-8009
Phone (732) 852-5542

National Provider Directory

National Provider Directory

Locations

8 S Main St
Unit 226
Marlboro, NJ 07746

Practitioners & affiliated clinicians

Practitioners 8

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1679520480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MAIN ST UNIT 226",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077468009",
            "telephone_number": "732-852-5542",
            "fax_number": "732-631-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SCHANCK RD STE A-6",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282963",
            "telephone_number": "732-852-5542",
            "fax_number": "732-631-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY REHABILITATION MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "COOPERMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-852-5542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.