Organization Active NPI

Parkrehabsolutions

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Cranford, NJ
National Provider Identifier
1801484795
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
PARKREHABSOLUTIONS
Practice address
600 Lincoln Park E
Cranford, NJ 07016-3125
Phone
(908) 276-7100
NPI assigned
Jan 6, 2021
Last updated
Jul 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Mordechai Kraus, LNHA
Title
Manager
Phone
(845) 263-4298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU Primary

Addresses

Primary practice location

600 Lincoln Park E
Cranford, NJ 07016-3125

Mailing address

600 Lincoln Park E
Cranford, NJ 07016-3125
Phone (908) 276-7100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210408001509 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890103980 Receives reassigned benefits from 2 practitioners
Practice locations: Springfield, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1801484795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LINCOLN PARK E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163125",
            "telephone_number": "908-276-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LINCOLN PARK E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163125",
            "telephone_number": "908-276-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKREHABSOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-263-4298",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.