Boston Associates Rehabilitation LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

40QA01075700 Issued in NJ

Legal business name

BOSTON ASSOCIATES REHABILITATION LLC

Practice address

291 Harding Hwy
Suite 1
Carneys Point, NJ 08069-2229

Phone

(856) 299-9229

Fax

(856) 299-9226

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jason James Supernavage, MSPTNPI 1306992367

Title

Owner

Phone

(856) 299-9229

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason James Supernavage, MSPT

  • Physical Therapist
  • Carneys Point, NJ
  • NPI 1306992367
  Medicare reassignment Care Compare group Authorized official
• Elizabeth Diprimio

  • Occupational Therapist
  • Carneys Point, NJ
  • NPI 1740681873
  Medicare reassignment Care Compare group NPD
• Danielle Griscom, PT,DPT

  • Physical Therapist
  • Garfield, NJ
  • NPI 1093203309
  Medicare reassignment Care Compare group NPD
• Angelina Welch, OTR/L

  • Occupational Therapist
  • Carneys Point, NJ
  • NPI 1619613478
  NPD
• Pamela Suzanne Seretis, MPT

  • Physical Therapist
  • Carneys Point, NJ
  • NPI 1134476070
  NPD (past)
• Michael Edward Walls, PT

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1841273992
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912037482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 HARDING HWY",
            "address_2": "SUITE 1",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080692229",
            "telephone_number": "856-299-9229",
            "fax_number": "856-299-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 HARDING HWY",
            "address_2": "SUITE 1",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080692229",
            "telephone_number": "856-299-9229",
            "fax_number": "856-299-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON ASSOCIATES REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUPERNAVAGE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-299-9229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": "40QA01075700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aviva N Abitbol, DPT
• American Medical Response Mid-Atlantic Inc
• Bancroft a New Jersey Nonprofit Corporation
• Anne Marie Biddle, M.A., L.P.C.
• Alfred C Burden Jr.
• Mary Burzinski
• Cardiology Consultants PA
• Care Associates of Salem County PC
• Carney Operations LLC

• Rehabilitation Clinic/Center in Carneys Point, NJ
• Providers in Carneys Point, NJ by specialty
• Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.