North Jersey Rehab LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA70629 Issued in NJ

Legal business name

NORTH JERSEY REHAB LLC

Practice address

504 Hamburg Tpke Ste B105
Wayne, NJ 07470-2034

Phone

(973) 595-0063

Fax

(973) 240-8990

NPI assigned

May 25, 2006

Last updated

Mar 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cyrus R Vosough, MDNPI 1194729475

Title

Owner

Phone

(973) 595-0063

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

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.

• Cyrus Vosough, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Wayne, NJ
  • NPI 1194729475
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1750337564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43092",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070430092",
            "telephone_number": "973-595-0063",
            "fax_number": "973-720-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 HAMBURG TPKE STE B105",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702034",
            "telephone_number": "973-595-0063",
            "fax_number": "973-240-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "VOSOUGH",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-595-0063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA70629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8481008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Jersey Pain Management Center,LLC.
• North Jersey Pediatric Orthopaedic Specialists, LLC
• North Jersey Physical Therapy Group LLC
• North Jersey Psychiatric Serivces LLC
• North Jersey Psychiatry Associates LLC
• North Jersey Spine Group LLC (Cnso)
• North Jersey Therapy Center LLC
• North Jersey Therapy Center LLC
• North Jersey Vascular Center, LLC
• North NJ Counseling LLC

• Specialist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.