Garden State Rehab Services

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

41YS00599300 Issued in NJ

Legal business name

GARDEN STATE REHAB SERVICES

Practice address

18 North St
Elmwood Park, NJ 07407-2246

Phone

(404) 300-9321

Fax

(862) 239-1681

NPI assigned

Mar 16, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Magda Gad

Title

Billing Manager

Phone

(404) 300-9321

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammad Nour Alqudah, SLP

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1831512011

  NJ

  Medicare reassignment NPD
• Mayk Alsaqqa

  • Occupational Therapist
  • Rutherford, NJ
  • NPI 1831749563
  Medicare reassignment
• Malika Bayramukova, SLP

  • Speech-Language Pathologist
  • Clifton, NJ
  • NPI 1831744622
  Medicare reassignment
• Isam M. Shahin, M.A,PT.

  • Physical Therapist
  • Secaucus, NJ
  • NPI 1487850269
  Medicare reassignment
• Joseph Andrew Schkolnick, O.D.

  • Optometrist
  • West Caldwell, NJ
  • NPI 1366494486
  NPD

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1689067563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131615",
            "telephone_number": "404-300-9321",
            "fax_number": "862-239-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 NORTH ST",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072246",
            "telephone_number": "404-300-9321",
            "fax_number": "862-239-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "GAD",
        "authorized_official_first_name": "MAGDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "404-300-9321",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": "41YS00599300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "41YS00599300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline E Gabay, MD
• James Ernest Gallo, LPC
• Astrid Garcia
• Jessica Garcia
• Garden State Oral & Maxillofacial Surgery, LLC
• Pasko L Gazivoda, DPM
• Genpath, Inc.
• Rella Gevertzman
• Suchitra Ghumwala
• Michele A Giuffre, DMD

• Rehabilitation Clinic/Center in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.