NPIMap

Organization Active NPI

Rehabilitation Specialists of New Jersey, LLC

  • Specialist
  • East Hanover, NJ
National Provider Identifier
1790727220
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07056000 Issued in NJ
Legal business name
REHABILITATION SPECIALISTS OF NEW JERSEY, LLC
Practice address
120 Eagle Rock Ave Ste 154
East Hanover, NJ 07936-3168
Phone
(201) 407-5145
Fax
(862) 701-6444
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Dr. James Girardy, MDNPI 1497756936
Title
Partner
Phone
(201) 407-5145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 25MA07056000 NJ Primary

Addresses

Primary practice location

120 Eagle Rock Ave Ste 154
East Hanover, NJ 07936-3168

Mailing address

120 Eagle Rock Ave Ste 154
East Hanover, NJ 07936-3168
Phone (201) 407-5145

Other identifiers 2

IdentifierTypeStateIssuer
DB8531OtherNJRAILROAD MEDICARE GROUP #
2850124000OtherNJAMERIHEALTH GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505001260 NJ Part B Supplier - Clinic/Group Practice 9931197050 Receives reassigned benefits from 30 practitioners
Practice locations: Morristown, NJ; New Providence, NJ; Newark, NJ; Newtown, NJ; Oakland, NJ; Oradell, NJ; Paramus, NJ; Park Ridge, NJ…

National Provider Directory

National Provider Directory

Locations

8536 SW 40th St
Ste L
Miami, FL 33155

8000 Fellowship Rd
Basking Ridge, NJ 07920
Phone (908) 580-3800

1 S Ridgedale Ave
East Hanover, NJ 07936
Phone (973) 433-5104

120 Eagle Rock Ave
Ste 154
East Hanover, NJ 07936
Phone (201) 407-5145

200 Madison Ave
Bldg 4
Madison, NJ 07940
Phone (973) 549-7550

600 Kinderkamack Rd
#One
Oradell, NJ 07649
Phone (201) 967-0002

505 Goffle Rd
Ste 3
Ridgewood, NJ 07450
Phone (201) 447-4772

1610 Raritan Rd
Scotch Plains, NJ 07076
Phone (908) 889-5500

10 Mountainview Rd
Ste C100
Upper Saddle River, NJ 07458

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1790727220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAGLE ROCK AVE STE 154",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363168",
            "telephone_number": "201-407-5145",
            "fax_number": "862-701-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAGLE ROCK AVE STE 154",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363168",
            "telephone_number": "201-407-5145",
            "fax_number": "862-701-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION SPECIALISTS OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "GIRARDY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-407-5145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07056000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "DB8531",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP #",
            "identifier": "2850124000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.