NPIMap

Organization Active NPI

Zada Rehab LLC

  • Physical Therapist
  • Lakewood, NJ
National Provider Identifier
1700358710
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ZADA REHAB LLC
Practice address
1200 River Ave Ste 10C
Lakewood, NJ 08701-5657
Phone
(732) 534-6707
NPI assigned
Jan 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Chana PollakNPI 1952280448
Title
Office Manager
Phone
(347) 439-8641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1200 River Ave Ste 10C
Lakewood, NJ 08701-5657

Mailing address

1539 Rockaway Rd
Lakewood, NJ 08701-3931
Phone (917) 704-2367

Other practice location 1

1539 Rockaway Rd
Lakewood, NJ 08701-3931
Phone (917) 704-2367

Other names 1

  • Daniel Yousefzadeh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190204000034 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082951710 Receives reassigned benefits from 3 practitioners
Practice locations: Lakewood, NJ

National Provider Directory

National Provider Directory

Locations

1200 River Ave
Ste 10C
Lakewood, NJ 08701
Phone (732) 534-6707

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1700358710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 ROCKAWAY RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013931",
            "telephone_number": "917-704-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RIVER AVE STE 10C",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015657",
            "telephone_number": "732-534-6707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1539 Rockaway Rd",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087013931",
            "country_code": "US",
            "telephone_number": "917-704-2367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZADA REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "POLLAK",
        "authorized_official_first_name": "CHANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "347-439-8641"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel Yousefzadeh",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.