Bancroft Rehabilitation

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00068700 Issued in NJ

Legal business name

BANCROFT REHABILITATION

Practice address

1255 Caldwell Rd
Cherry Hill, NJ 08034

Phone

(856) 348-1170

Fax

(856) 216-1269

NPI assigned

Mar 21, 2013

Organization subpart

No

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

Authorized official

Name

James Hartman

Title

Chief Financial Officer

Phone

(856) 348-1196

Specialties & licenses 1

Addresses

Tax ID family

Bancroft Rehabilitation2 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.

• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mount Laurel, NJ
  • NPI 1598808941
  NPD tax ID

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1992047591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 CALDWELL RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343220",
            "telephone_number": "856-348-1170",
            "fax_number": "856-216-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 CALDWELL RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08034",
            "telephone_number": "856-348-1170",
            "fax_number": "856-216-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANCROFT REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "856-348-1196"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00068700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Bambrick
• Eby Ludera Banas, M.D.
• Bancroft a New Jersey Nonprofit Corporation
• Bancroft a New Jersey Nonprofit Corporation
• Bancroft a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation

• All providers in Cherry Hill, NJ
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.