Organization Active NPI

JB Nursing and Rehab Solutions

  • Physical Therapist
  • North Bergen, NJ
National Provider Identifier
1891055737
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JB NURSING AND REHAB SOLUTIONS
Practice address
7310 Bergenline Ave
North Bergen, NJ 07047-5437
Phone
(201) 590-9999
NPI assigned
May 25, 2012
Organization subpart
Yes
Parent organization
JB NURSING AND REHAB SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
John BucoNPI 1902165756
Title
Physical Therapist
Phone
(630) 788-0477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X NJ Primary
Physical Therapy Clinic/Center 261QP2000X 40QA01398200 NJ

Addresses

Primary practice location

7310 Bergenline Ave
North Bergen, NJ 07047-5437

Mailing address

209 Comly Rd
Apt C-14
Lincoln Park, NJ 07035-1126
Phone (630) 788-0477

Other names 1

  • Hudson Wellness Two Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120724000109 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8224294038 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ; North Bergen, NJ

National Provider Directory

National Provider Directory
Part of
JB Nursing and Rehab Soluti

Locations

7310 Bergenline Ave
#Two
North Bergen, NJ 07047
Phone (201) 590-9999

7310 Bergenline Ave
North Bergen, NJ 07047
Phone (201) 590-9999

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": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1891055737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 COMLY RD",
            "address_2": "APT C-14",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351126",
            "telephone_number": "630-788-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 BERGENLINE AVE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475437",
            "telephone_number": "201-590-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB NURSING AND REHAB SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JB NURSING AND REHAB SOLUTIONS",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "BUCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "630-788-0477"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01398200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Wellness Two",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.