# PROFESSIONAL MEDICAL REHABILITATION PA

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

## Provider details

- **NPI number:** 1235413279
- **Authorized official:** JEFFREY FOSSATI MD (OWNER)
- **Authorized official phone:** (201) 262-2244

## Contact information

- **Practice address:** 37 W CENTURY RD, SUITE 111, PARAMUS, NJ 07652-1409
- **Practice address phone:** (201) 262-2244
- **Practice address fax:** (201) 262-2246
- **Mailing address:** 37 W CENTURY RD, SUITE 111, PARAMUS, NJ 07652-1409
- **Mailing address phone:** (201) 262-2244
- **Mailing address fax:** (201) 262-2246

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2011
- **Last updated:** 02/07/2013