Resa Treatment Center LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

2000640 Issued in NJ

Legal business name

RESA TREATMENT CENTER LLC

Practice address

199 Main St Ste 2a
Keansburg, NJ 07734-1768

Phone

(732) 495-1474

Fax

(866) 730-7538

NPI assigned

Nov 19, 2016

Last updated

Mar 25, 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

Mr. Michael Palmieri

Title

Ceo

Phone

(732) 495-1474

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Resa Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Resa Treatment Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Keansburg, NJ
  • NPI 1922533975
  NPD tax ID

Interoperability endpoints

• Direct secure messaging: michael@resatreatmentcenter.com

Practitioners 2

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.

• Lionel Anicette Jr., M.D.

  • Internal Medicine Physician
  • South Orange, NJ
  • NPI 1346425188
  Medicare reassignment NPD
• Joan Sciorta

  • Peer Specialist
  • Keansburg, NJ
  • NPI 1316674864
  NPD

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

{
    "created_epoch": "1479513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1760925085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CAMBRIDGE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141805",
            "telephone_number": "917-525-9494",
            "fax_number": "866-730-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MAIN ST STE 2A",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341768",
            "telephone_number": "732-495-1474",
            "fax_number": "866-730-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESA TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-19",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "PALMIERI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-495-1474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NJ",
            "license": "2000640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michael@resatreatmentcenter.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "199 Main St Ste 2A",
            "city": "Keansburg",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077341768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nirmit Patel, PHARM D.
• Sweta Patel
• Patients Best Care LLC
• Cassie Porter, SCHOOL PSYCHOLOGIST
• Resa Treatment Center
• Gabrielle Reynolds, LMT
• Julie Elise Schaeffer
• Joan Sciorta
• Howard Shulman, PHARMACIST
• Shumet Inc (Keansburg Drugs)

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Keansburg, NJ
• Providers in Keansburg, NJ by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.