NPIMap

Organization Active NPI

Life Care Medical Center

  • Physical Therapy Clinic/Center
  • Glassboro, NJ
National Provider Identifier
1699836635
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LIFE CARE MEDICAL CENTER
Practice address
601 N Main St
Glassboro, NJ 08028-1637
Phone
(856) 881-5800
Fax
(856) 881-3511
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Mr. Leonard A Kraus
Title
President
Phone
(856) 881-5800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Rehabilitation Clinic/Center 261QR0400X
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

601 N Main St
Glassboro, NJ 08028-1637

Mailing address

601 N Main St
PO Box 900
Glassboro, NJ 08028-1637
Phone (856) 881-5800

National Provider Directory

National Provider Directory

Locations

601 N Main St
Glassboro, NJ 08028
Phone (609) 342-2383

Practitioners & affiliated clinicians

Practitioners 7

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1699836635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N MAIN ST",
            "address_2": "PO BOX 900",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281637",
            "telephone_number": "856-881-5800",
            "fax_number": "856-881-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281637",
            "telephone_number": "856-881-5800",
            "fax_number": "856-881-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-881-5800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.