Active NPI
New Life Rehab Medicine, P.C.
- Family Medicine Physician
- Stratford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Pain Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- Sicklerville, NJ
- NPI 1912020322
-
- Family Medicine Physician
- Stratford, NJ
- NPI 1659301836
-
- Chiropractor
- Hainesport, NJ
- NPI 1083008148
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.