Organization Active NPI

Essential Rehab Care LLC

  • Hand Occupational Therapist
  • Ramsey, NJ
National Provider Identifier
1891337317
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
ESSENTIAL REHAB CARE LLC
Practice address
176 E Main St
Ramsey, NJ 07446-1925
Phone
(201) 962-8454
Fax
(201) 786-9161
NPI assigned
Oct 16, 2019
Last updated
Jun 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Samira NasabNPI 1427064740
Title
Otr/CHT
Phone
(201) 962-8454

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X NU Primary

Addresses

Primary practice location

176 E Main St
Ramsey, NJ 07446-1925

Mailing address

176 E Main St
Ramsey, NJ 07446-1925
Phone (201) 962-8454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191211001559 NJ Part B Supplier - Clinic/Group Practice 3375976079 Receives reassigned benefits from 1 practitioner
Practice locations: Ramsey, NJ
O20211101000813 NJ DME Supplier - Independently-Practicing Occupational TherapistDME Supplier - Orthotic Personnel 3375976079 Practice locations: Ramsey, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Essential Rehab Care LLC176 E Main St, Ramsey, NJ 07446-1925(201) 962-8454 Orthoses: Custom Fabricated Accepts assignmentParticipating since Oct 14, 2019

National Provider Directory

National Provider Directory

Locations

176 E Main St
Ramsey, NJ 07446
Phone (201) 962-8452

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1891337317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 E MAIN ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461925",
            "telephone_number": "201-962-8454",
            "fax_number": "201-786-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 E MAIN ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461925",
            "telephone_number": "201-962-8454",
            "fax_number": "201-786-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL REHAB CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "NASAB",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "OTR/CHT",
        "authorized_official_telephone_number": "201-962-8454"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.