Active NPI
Mentor Abi
Doing business as NeuroRestorative New Jersey
- Rehabilitation Hospital
- Mount Laurel, NJ
National Provider Identifier
1740596568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- Legal business name
- MENTOR ABI
- Doing business as
- NeuroRestorative New Jersey
- Practice address
- 2000 Crawford PL Ste 700
Mount Laurel, NJ 08054-3950 - Phone
- (813) 626-1444
- Fax
- (813) 621-0770
- NPI assigned
- Aug 31, 2010
- Last updated
- Jan 30, 2013
- 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
- Mr. Chris Cutler
- Title
- Cfo
- Phone
- (813) 626-1444
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | NJ | Primary | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X |
Addresses
Primary practice location
2000 Crawford PL Ste 700
Mount Laurel, NJ 08054-3950
Mailing address
10150 Highland Manor Dr Ste 140
Tampa, FL 33610-9712
Phone (813) 626-1444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0256625 | Medicaid | NJ |
Other names 1
- NeuroRestorative New Jersey
National Provider Directory
National Provider Directory- Tax ID family
- Mentor Abillc Dba Neurorestorative Iowa
Other organizations with this tax ID 36
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Neurorestorative New Jersey
- Rehabilitation Hospital
- Mount Laurel, NJ
- NPI 1396254959
-
dba Neurorestorative New Jersey
- Rehabilitation Hospital
- Mount Laurel, NJ
- NPI 1679082234
-
dba Oregon Orchid
- Mental Illness Community Based Residential Treatment Facility
- Portland, OR
- NPI 1558686576
-
dba NeuroRestorative Rhode Island
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Charlestown, RI
- NPI 1639476617
-
dba NeuroRestorative Wisconsin
- Mental Illness Community Based Residential Treatment Facility
- Waterford, WI
- NPI 1649574252
-
dba NeuroRestorative Maine
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Sebago, ME
- NPI 1033426739
Locations
8008 Route 130
#C
Delran, NJ 08075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359504000000",
"number": "1740596568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10150 HIGHLAND MANOR DR STE 140",
"city": "TAMPA",
"state": "FL",
"postal_code": "336109712",
"telephone_number": "813-626-1444",
"fax_number": "813-902-6719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CRAWFORD PL STE 700",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543950",
"telephone_number": "813-626-1444",
"fax_number": "813-621-0770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTOR ABI",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-31",
"last_updated": "2013-01-30",
"status": "A",
"authorized_official_last_name": "CUTLER",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "813-626-1444",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "NJ",
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0256625",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NeuroRestorative New Jersey",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Laurel, NJ
- Medical Rehabilitation Consultants,LLC
- Amya Sanaa Meekins
- Sherin Mary Thomas Meledathu, D.O.
- Jason Melnyk, OTR/L,MS, CEAS II
- Alfred Donald Meltzer, M.D.
- Mentor Abi, LLC (Neurorestorative New Jersey)
- Mentor Abi, LLC (Neurorestorative New Jersey)
- George Alberto Mercado
- Mercy Diagnostics Inc
- Casey Merget
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.