NPIMap

Organization Active NPI

National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Edgewater, NJ
National Provider Identifier
1780080218
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
277584 Issued in NY
Legal business name
NATIONAL HEALTH REHABILITATION LLC
Practice address
103 River Rd
Ste 101
Edgewater, NJ 07020-1016
Phone
(201) 308-8995
Fax
(201) 917-3603
NPI assigned
Nov 11, 2014
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Ashley Putnam
Title
Managing Employee
Phone
(725) 710-9178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 277584 NY Primary

Addresses

Primary practice location

103 River Rd
Ste 101
Edgewater, NJ 07020-1016

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (201) 654-6397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, NJ, FL, NC, TN, PA, MI, MD, DC, TX, OH, DE, LA, GA, MO, MA, VA, SC, AZ, KY, HI, NV, OR, WA, MS, NH27 enrollments

Enrollment records 27

Enrollment IDStateProvider typePAC IDDetails
O20150416000076 CT Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 8 practitioners
Practice locations: Naugatuck, CT; New Britain, CT; New Canaan, CT; North Haven, CT; Old Saybrook, CT; Plainville, CT; Ridgefield, CT; Seymour, CT…
O20150504000693 NY Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 79 practitioners
O20150528001679 NJ Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 29 practitioners
O20150821012665 FL Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 111 practitioners
O20160525001372 NC Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 12 practitioners
Practice locations: Asheville, NC; Winston Salem, NC; Thomasville, NC; Taylorsville, NC; Swannanoa, NC; Stanley, NC; Rutherfordton, NC; Reidsville, NC…
O20160720001209 TN Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 7 practitioners
Practice locations: Nashville, TN; White House, TN; Memphis, TN; Gallatin, TN; Franklin, TN; Knoxville, TN; Lebanon, TN; Madison, TN…
O20170330000520 PA Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 26 practitioners
O20170508001832 MI Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 1 practitioner
Practice locations: Kalamazoo, MI
O20170613000495 MD Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 12 practitioners
Practice locations: Adelphi, MD; Westminster, MD; Essex, MD; Ellicott City, MD; Elkton, MD; Edgewater, MD; Columbia, MD; Catonsville, MD…
O20170817000156 DC Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 20 practitioners
16 other NPIs on this enrollment
Practice locations: Sandy Spring, MD; Silver Spring, MD; Takoma Park, MD; Fort Belvoir, VA; Upper Marlboro, MD; Washington, DC; Rockville, MD; Adelphi, MD…
O20171027001702 TX Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 23 practitioners
O20180326000256 OH Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 3 practitioners
Practice locations: Westerville, OH; Springboro, OH; Olmsted Falls, OH; Mason, OH; Columbus, OH; Marion, OH; Loveland, OH; Lewis Center, OH…
O20180509000099 DE Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 3 practitioners
Practice locations: Wilmington, DE; Smyrna, DE; Seaford, DE; Millsboro, DE
O20181010000325 LA Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA; Baton Rouge, LA; New Orleans, LA; Metairie, LA; Houma, LA; Harvey, LA; Gretna, LA
O20190701002496 GA Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 14 practitioners
Practice locations: Stone Mountain, GA; Woodstock, GA; Tucker, GA; Social Circle, GA; Roswell, GA; Newnan, GA; Monroe, GA; McDonough, GA…
O20191127000890 MO Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 1 practitioner
Practice locations: Weldon Spring, MO
O20191216001644 MA Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 8 practitioners
Practice locations: Wrentham, MA; Worcester, MA; Topsfield, MA; Stoneham, MA; Saugus, MA; Sandwich, MA; Rockland, MA; Quincy, MA…
O20200212001804 VA Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 7 practitioners
Practice locations: Woodbridge, VA; Virginia Beach, VA; Richmond, VA; Mechanicsville, VA; Norfolk, VA; Chesapeake, VA; Colonial Heights, VA; Fairfax, VA…
O20200521001496 SC Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 3 practitioners
Practice locations: Port Royal, SC; Okatie, SC
O20210125001504 AZ Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 3 practitioners
Practice locations: Glendale, AZ; Surprise, AZ; Sun City, AZ; Mesa, AZ; Phoenix, AZ
O20210408002193 KY Part B Supplier - Clinic/Group Practice 4284952615 Practice locations: Lexington, KY
O20210504000880 HI Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 1 practitioner
Practice locations: Kaneohe, HI
O20210504000929 NV Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV
O20210827001837 OR Part B Supplier - Clinic/Group Practice 4284952615 Practice locations: Eugene, OR; Portland, OR
O20211005001695 WA Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 1 practitioner
Practice locations: Puyallup, WA; University Place, WA; Tacoma, WA; Shoreline, WA; Seattle, WA; Fife, WA; Everett, WA
O20230403001641 MS Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 2 practitioners
Practice locations: Clinton, MS; Hattiesburg, MS; Jackson, MS
O20230503000695 NH Part B Supplier - Clinic/Group Practice 4284952615 Receives reassigned benefits from 1 practitioner
Practice locations: Brentwood, NH; Dover, NH; Portsmouth, NH

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory

Locations (25 of 79)

1155 E Springfield Ave
Reedley, CA 93654
Phone (559) 638-9225

4444 Magnolia Ave
Ste Ctr
Riverside, CA 92501

10 Boston Post Rd
Guilford, CT 06437
Phone (203) 453-3725

154 Kensington Rd
Kensington, CT 06037
Phone (860) 828-0583

33 Cone Ave
Meriden, CT 06450
Phone (203) 238-1606

3 Farm Rd
New Canaan, CT 06840
Phone (203) 594-5200

172 Rocky Rest Rd
Shelton, CT 06484
Phone (203) 924-6268

21 Maefair Ct
Trumbull, CT 06611
Phone (203) 459-5152

1120 N Betty Ln
Clearwater, FL 33755
Phone (727) 442-9041

6545 Nova Dr
Ste 203
Davie, FL 33317
Phone (954) 766-4103

3850 Williams Rd
Estero, FL 33928
Phone (239) 495-1935

6416 13TH Rd S
Greenacres, FL 33415

1500 Southgate Dr
Kissimmee, FL 34746
Phone (407) 846-7201

5201 Blue Lagoon Dr
Fl 9
Miami, FL 33126
Phone (786) 334-1757

724 NW 19th St
Miami, FL 33136
Phone (305) 323-2300

1609 Pasadena Ave S
Ste 1E
South Pasadena, FL 33707
Phone (727) 341-7870

6011 SE Tower Dr
Stuart, FL 34997
Phone (772) 223-8777

3850 Upper Creek Dr
Sun City Center, FL 33573
Phone (813) 633-2781

4501 Waterman Way
Tavares, FL 32778
Phone (352) 609-4000

1525 Oxford Ln
Naperville, IL 60565
Phone (224) 441-7428

11188 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 275-7570

1420 General Taylor St
Ste 101
New Orleans, LA 70115

190 North Ave
Haverhill, MA 01830
Phone (978) 372-7700

56 Webster St
Rockland, MA 02370
Phone (339) 469-7099

144 Washington Rd
Ste 101
Edgewater, MD 21037

Practitioners & affiliated clinicians

Practitioners 461

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.

View all 461

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1780080218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "201-654-6397",
            "fax_number": "201-608-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIVER RD",
            "address_2": "STE 101",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-308-8995",
            "fax_number": "201-917-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL HEALTH REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "725-710-9178"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "277584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.