Active NPI
Comprehensive Physical Medicine and Rehabilitation of New Jersey
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Maplewood, NJ
National Provider Identifier
1720585169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 25MA06589100
- Legal business name
- COMPREHENSIVE PHYSICAL MEDICINE AND REHABILITATION OF NEW JERSEY
- Practice address
- 749 Irvington Ave
Maplewood, NJ 07040-1607 - Phone
- (917) 880-6227
- NPI assigned
- Apr 11, 2018
- Last updated
- Apr 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Zelefsky
- Title
- President/ Owner
- Phone
- (917) 880-6227
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 25MA06589100 | NJ | Primary |
Addresses
Primary practice location
749 Irvington Ave
Maplewood, NJ 07040-1607
Mailing address
652 Winthrop Rd
Teaneck, NJ 07666-2246
Phone (917) 880-6227
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Astoria, NY
- NPI 1295767531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523404800000",
"number": "1720585169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 WINTHROP RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076662246",
"telephone_number": "917-880-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 IRVINGTON AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070401607",
"telephone_number": "917-880-6227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE PHYSICAL MEDICINE AND REHABILITATION OF NEW JERSEY",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-11",
"last_updated": "2018-04-11",
"status": "A",
"authorized_official_last_name": "ZELEFSKY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT/ OWNER",
"authorized_official_telephone_number": "917-880-6227",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NJ",
"license": "25MA06589100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.