Medical Rehabilitation Care, PC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

25MA09862400 Issued in NJ

Legal business name

MEDICAL REHABILITATION CARE, PC

Practice address

80 Ivy St
Kearny, NJ 07032-3406

Phone

(516) 729-5808

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Roshni Durgam, MD

Title

Ceo

Phone

(516) 729-5808

Specialties & licenses 1

Addresses

Tax ID family

Medical Rehabilitation Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Medical Rehabilitation Care, PC

  • Skilled Nursing Facility
  • Kearny, NJ
  • NPI 1689020901
  NPD tax ID

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1912356288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 IVY ST",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 IVY ST",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323406",
            "telephone_number": "516-729-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL REHABILITATION CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "DURGAM",
        "authorized_official_first_name": "ROSHNI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-729-5808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "25MA09862400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merilee Mason, PMHNP
• Sharon Davis Massey, PHD
• Nadia Matin, M.D.
• MB Transport LLC
• Medical Rehabilitation Care, PC
• Melissa Miao, PA-C
• William L. Micchelli
• Midland Family Dentistry, Inc
• Midtown Pharmaceutical Services Inc.
• Midtown Pharmaceutical Services Inc.

• Skilled Nursing Facility in Kearny, NJ
• Providers in Kearny, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.