Meridian Nursing and Rehabilitation, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MERIDIAN NURSING AND REHABILITATION, INC.

Doing business as

Meridian Subacute Rehabilitation

Practice address

1725 Meridian Trail
Wall, NJ 07719-9671

Phone

(732) 312-1800

Fax

(732) 312-1801

NPI assigned

May 25, 2006

Last updated

May 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Phyllis A Deyo

Title

Director LTC Accounts

Phone

(732) 312-1670

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Meridian Subacute Rehabilitation Doing business as

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1912953886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MERIDIAN TRAIL",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077199671",
            "telephone_number": "732-312-1800",
            "fax_number": "732-312-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MERIDIAN TRAIL",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077199671",
            "telephone_number": "732-312-1800",
            "fax_number": "732-312-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN NURSING AND REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "DEYO",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR LTC ACCOUNTS",
        "authorized_official_telephone_number": "732-312-1670",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173738",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Subacute Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniela Masucci
• Sandra Ann Mead, APN
• Medexpress Urgent Care - New Jersey, Inc (MedExpress Urgent Care - Wall, NJ Route 35)
• Sushil K Mehandru, MD
• Catherine L Meli, MD
• Matthew R Miller, PT, DPT
• Gregory Matthew Minnis, DPT
• Pamela A Minnis, PT
• Modern Dermatology and Cosmetic Center LLC
• Cindy Monsen-Gorto, LCSW

• Skilled Nursing Facility in Wall, NJ
• Providers in Wall, 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 May 29, 2009; 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.