# IVYREHAB NETWORK, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124646617
- **Authorized official:** MICHAEL RUCKER (CEO)
- **Authorized official phone:** (631) 580-5200

## Contact information

- **Practice address:** 123 E MAIN ST STE 4, DENVILLE, NJ 07834-2630
- **Practice address phone:** (973) 625-0744
- **Practice address fax:** (973) 625-0741
- **Mailing address:** 1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
- **Mailing address phone:** (914) 294-4050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2020
- **Last updated:** 01/13/2026