NPIMap

Organization Active NPI

Forest Hill Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Newark, NJ
National Provider Identifier
1679650790
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00334600 Issued in NJ
Legal business name
FOREST HILL REHABILITATION CENTER
Practice address
465 Mt Prospect Ave.
Newark, NJ 07104
Phone
(973) 485-4766
Fax
(973) 732-1141
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Mr. Marvin P. Royal II, MD
Title
Clinical Director
Phone
(973) 485-4766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA00334600 NJ Primary

Addresses

Primary practice location

465 Mt Prospect Ave.
Newark, NJ 07104

Mailing address

465 Mt Prospect Ave.
Newark, NJ 07104
Phone (973) 485-4766

Other names 1

  • FOREST HILL PHYSICAL THERAPY Other name

National Provider Directory

National Provider Directory
Tax ID family
Forest Hill Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1679650790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MT PROSPECT AVE.",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07104",
            "telephone_number": "973-485-4766",
            "fax_number": "973-732-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MT PROSPECT AVE.",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07104",
            "telephone_number": "973-485-4766",
            "fax_number": "973-732-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILL REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "ROYAL",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "973-485-4766",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00334600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOREST HILL PHYSICAL THERAPY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FOREST HILL PHYSICAL THERAPY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.