Active NPI
Triad Rehabilitation Center Professional Association
- Physical Therapy Clinic/Center
- East Orange, NJ
National Provider Identifier
1881836500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 40QA00994000
- Legal business name
- TRIAD REHABILITATION CENTER PROFESSIONAL ASSOCIATION
- Practice address
- 134 Evergreen PL
Suite 5004
East Orange, NJ 07018-2011 - Phone
- (201) 532-0023
- NPI assigned
- Mar 26, 2009
- 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
- Rached Baiera, PT
- Title
- Owner
- Phone
- (201) 532-0023
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 40QA00994000 | NJ | Primary |
Addresses
Primary practice location
134 Evergreen PL
Suite 5004
East Orange, NJ 07018-2011
Mailing address
370 W Pleasantview Ave
#230
Hackensack, NJ 07601-8004
Phone (201) 709-7033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1030 Clifton Ave
Fl 2
Clifton, NJ 07013
969 Paulison Ave
Ste 2
Clifton, NJ 07011
Phone (973) 928-3484
134 Evergreen Pl
Ste 5004
East Orange, NJ 07018
Phone (201) 532-0023
370 W Pleasantview Ave
#230
Hackensack, NJ 07601
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Clifton, NJ
- NPI 1952474967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238025600000",
"number": "1881836500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 W PLEASANTVIEW AVE",
"address_2": "#230",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076018004",
"telephone_number": "201-709-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 EVERGREEN PL",
"address_2": "SUITE 5004",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182011",
"telephone_number": "201-532-0023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIAD REHABILITATION CENTER PROFESSIONAL ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-26",
"last_updated": "2009-03-26",
"status": "A",
"authorized_official_last_name": "BAIERA",
"authorized_official_first_name": "RACHED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-532-0023",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NJ",
"license": "40QA00994000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.