NPIMap

Organization Active NPI

Classic Rehabilitation

  • Occupational Therapist
  • Lakewood, NJ
National Provider Identifier
1881925675
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00065700 Issued in NJ
Legal business name
CLASSIC REHABILITATION
Practice address
500 River Ave
Lakewood, NJ 08701-4738
Phone
(732) 367-1888
Fax
(732) 367-5910
NPI assigned
Jan 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Mr. Marc Lubet
Title
President
Phone
(732) 367-1888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 46TR00065700 NJ Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 0C010760 PA

Addresses

Primary practice location

500 River Ave
Lakewood, NJ 08701-4738

Mailing address

500 River Ave
Lakewood, NJ 08701-4738
Phone (732) 367-1888

National Provider Directory

National Provider Directory
Tax ID family
Classic Rehabilitation LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1881925675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014738",
            "telephone_number": "732-367-1888",
            "fax_number": "732-367-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014738",
            "telephone_number": "732-367-1888",
            "fax_number": "732-367-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "LUBET",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-367-1888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00065700",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "0C010760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.