Organization Active NPI

Triad Rehabilitation Center Professional Association

  • Physical Therapy Clinic/Center
  • East Orange, NJ
National Provider Identifier
1881836500
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00994000 Issued in NJ
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

Updated by the provider on Mar 26, 2009

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20101012000876 NJ Part B Supplier - Clinic/Group Practice 2668664459 Receives reassigned benefits from 1 practitioner
Practice locations: Clifton, NJ; Paterson, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.