Advanced Associates for Diagnosis and Physical Rehabilitation LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

MC03793 Issued in NJ

Legal business name

ADVANCED ASSOCIATES FOR DIAGNOSIS AND PHYSICAL REHABILITATION LLC

Practice address

277 Closter Dock Rd
Closter, NJ 07624-2445

Phone

(201) 768-7211

Fax

(201) 768-2035

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward H Cohen, DC

Title

Administrator

Phone

(201) 768-7211

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Octavio Federico Delasobera, MD

  • Physical Medicine & Rehabilitation Physician
  • Rutherford, NJ
  • NPI 1902910805
  NPD (past)
• Scott Brian Krisanda, DC

  • Chiropractor
  • Phillipsburg, NJ
  • NPI 1871524124
  NPD (past)
• Celine C Lamdagan, P.T.

  • Physical Therapist
  • Parsippany, NJ
  • NPI 1063534097
  NPD (past)
• Judalyn Kaye Blanco Uy, PT

  • Physical Therapist
  • Belleville, NJ
  • NPI 1760429518
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1710191051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 CLOSTER DOCK RD",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242445",
            "telephone_number": "201-768-7211",
            "fax_number": "201-768-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 CLOSTER DOCK RD",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242445",
            "telephone_number": "201-768-7211",
            "fax_number": "201-768-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ASSOCIATES FOR DIAGNOSIS AND PHYSICAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-768-7211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": "MC03793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.