Active NPI
Resa Treatment Center
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Keansburg, NJ
National Provider Identifier
1922533975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- 2000640
- Legal business name
- RESA TREATMENT CENTER
- Practice address
- 199 Main St
Suite 2a
Keansburg, NJ 07734-1768 - Phone
- (732) 495-1474
- NPI assigned
- Apr 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Palmieri
- Title
- Ceo
- Phone
- (732) 495-1474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | 2000640 | NJ | Primary |
Addresses
Primary practice location
199 Main St
Suite 2a
Keansburg, NJ 07734-1768
Mailing address
211 Cambridge Ave
Staten Island, NY 10314-1805
Phone (917) 525-9494
National Provider Directory
National Provider Directory- Tax ID family
- Resa Treatment Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Keansburg, NJ
- NPI 1760925085
Locations
199 Main St
Ste 2A
Keansburg, NJ 07734
Phone (732) 495-1474
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- South Orange, NJ
- NPI 1346425188
-
- Peer Specialist
- Keansburg, NJ
- NPI 1316674864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493251200000",
"number": "1922533975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 CAMBRIDGE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141805",
"telephone_number": "917-525-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 MAIN ST",
"address_2": "SUITE 2A",
"city": "KEANSBURG",
"state": "NJ",
"postal_code": "077341768",
"telephone_number": "732-495-1474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESA TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-27",
"last_updated": "2017-04-27",
"status": "A",
"authorized_official_last_name": "PALMIERI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "732-495-1474",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "NJ",
"license": "2000640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keansburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.