Organization Active NPI

New Jersey Rehab Pain Clinic PC

  • Physical Therapy Clinic/Center
  • Hasbrouck Heights, NJ
National Provider Identifier
1982096392
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01441600 Issued in NJ
Legal business name
NEW JERSEY REHAB PAIN CLINIC PC
Practice address
471 Boulevard Apt. a
Hasbrouck Heights, NJ 07604-1002
Phone
(347) 612-1894
NPI assigned
Feb 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Paul Anthony Maasin Calinog, RPT
Title
Owner
Phone
(347) 612-1894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01441600 NJ Primary

Addresses

Primary practice location

471 Boulevard Apt. a
Hasbrouck Heights, NJ 07604-1002

Mailing address

845 Broad Ave
#103
Ridgefield, NJ 07657-1002
Phone (347) 612-1894

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1424563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1982096392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 BROAD AVE",
            "address_2": "#103",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571002",
            "telephone_number": "347-612-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 BOULEVARD APT. A",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041002",
            "telephone_number": "347-612-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY REHAB PAIN CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-22",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "CALINOG",
        "authorized_official_first_name": "PAUL ANTHONY",
        "authorized_official_middle_name": "MAASIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-612-1894",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01441600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hasbrouck Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.