Organization Active NPI

Mentor Abi

Doing business as NeuroRestorative New Jersey

  • Rehabilitation Hospital
  • Mount Laurel, NJ
National Provider Identifier
1740596568
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0256625MedicaidNJ

Other names 1

  • NeuroRestorative New Jersey Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mentor Abillc Dba Neurorestorative Iowa37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

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

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.

Verify at the official NPI Registry.