Organization Active NPI

New Life Rehab Medicine, P.C.

  • Family Medicine Physician
  • Stratford, NJ
National Provider Identifier
1841444882
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEW LIFE REHAB MEDICINE, P.C.
Practice address
119 East Laurel Road
Stratford, NJ 08084-1324
Phone
(856) 346-3469
Fax
(856) 346-9456
NPI assigned
Nov 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Dr. Thelma Jean Citta, D.O.
Title
President
Phone
(856) 630-6000

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204R00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X

Addresses

Primary practice location

119 East Laurel Road
Stratford, NJ 08084-1324

Mailing address

1175 Marlkress Road
#4353
Cherry Hill, NJ 08034-0661
Phone (856) 346-3469

Other practice location 1

30 Jackson Rd Unit D101
Medford, NJ 08055-9283
Phone (856) 346-3469

Other practice location 2

499 Cooper Landing Rd
Cherry Hill, NJ 08002-2504
Phone (856) 346-3469

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201109000278 NJ Part B Supplier - Clinic/Group Practice 1153731807 Receives reassigned benefits from 3 practitioners
Practice locations: Hainesport, NJ; West Deptford, NJ; Voorhees, NJ; Stratford, NJ; Cherry Hill, NJ; Sicklerville, NJ; Camden, NJ

National Provider Directory

National Provider Directory

Locations

1175 Marlkress Rd
Unit 4353
Cherry Hill, NJ 08034

501 N Haddon Ave
Ste 1
Haddonfield, NJ 08033
Phone (856) 429-1226

1368 Route 38
Hainesport, NJ 08036
Phone (856) 494-6789

30 Jackson Rd
Ste D101
Medford, NJ 08055

30 Jackson Rd
Unit D101
Medford, NJ 08055
Phone (856) 346-3469

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1841444882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 MARLKRESS ROAD",
            "address_2": "#4353",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080340661",
            "telephone_number": "856-346-3469",
            "fax_number": "856-346-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 EAST LAUREL ROAD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841324",
            "telephone_number": "856-346-3469",
            "fax_number": "856-346-9456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Jackson Rd Unit D101",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080559283",
            "country_code": "US",
            "telephone_number": "856-346-3469",
            "fax_number": "856-346-9456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "499 Cooper Landing Rd",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080022504",
            "country_code": "US",
            "telephone_number": "856-346-3469",
            "fax_number": "856-346-9456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW LIFE REHAB MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "CITTA",
        "authorized_official_first_name": "THELMA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-630-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.