Elite Rehabilitation Center of Passaic LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELITE REHABILITATION CENTER OF PASSAIC LLC

Practice address

615 Main Ave
Suite 2B
Passaic, NJ 07055-4920

Phone

(973) 773-9190

Fax

(973) 773-9191

NPI assigned

May 26, 2011

Organization subpart

No

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

Authorized official

Name

Mr. John Barriage

Title

Director

Phone

(973) 773-9190

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1679866404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MAIN AVE",
            "address_2": "SUITE 2B",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554920",
            "telephone_number": "973-773-9190",
            "fax_number": "973-773-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MAIN AVE",
            "address_2": "SUITE 2B",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554920",
            "telephone_number": "973-773-9190",
            "fax_number": "973-773-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE REHABILITATION CENTER OF PASSAIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "BARRIAGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-773-9190",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Passaic, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.