# COMMUNITY HOSPITAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physical Medicine - JFK Johnson Rehab Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265509202
- **Authorized official:** MR. RICHARD C SMITH (CHIEF FINANCIAL OFFICE)
- **Authorized official phone:** (732) 321-7747

## Contact information

- **Practice address:** 65 JAMES ST, EDISON, NJ 08820-3947
- **Practice address phone:** (732) 632-1571
- **Practice address fax:** (732) 632-1644
- **Mailing address:** 80 JAMES ST, 4TH FLOOR, EDISON, NJ 08820-3938
- **Mailing address phone:** (732) 632-1571
- **Mailing address fax:** (732) 632-1644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | 61531 | NJ | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9089306 | — | NJ |