Organization Active NPI

Comprehensive Physical Medicine and Rehabilitation of New Jersey

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Maplewood, NJ
National Provider Identifier
1720585169
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
25MA06589100 Issued in NJ
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Dr. David ZelefskyNPI 1295767531
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.