Concentra Medical Centers

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01256600 Issued in NJ

Legal business name

CONCENTRA MEDICAL CENTERS

Practice address

375 McCarter Hwy
Newark, NJ 07114-2562

Phone

(973) 643-8601

Fax

(973) 643-8609

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Miss Irina Burdetsky

Title

Physical Therapist

Phone

(917) 804-8865

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1992994784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MCCARTER HWY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071142562",
            "telephone_number": "973-643-8601",
            "fax_number": "973-643-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MCCARTER HWY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071142562",
            "telephone_number": "973-643-8601",
            "fax_number": "973-643-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "BURDETSKY",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-804-8865",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01256600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comunidad Unida Para Rehabilitacion de Adictos
• Comunidad Unida Para Rehabilitacion de Adictos
• Comunidad Unida Para Rehabilitacion de Adictos
• Comunidad Unida Para Rehabilitacion de Adictos
• Concentra Health Services, Inc.
• Congress Rehabilitation Center, P.a.
• Connection Korner
• Marianne Connelly-Semenuk, RN, APN
• Patricia E Connelly, PHD
• Dawn Conroy

• Physical Therapy Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.