# JERSEY REHAB PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JERSEY REHAB PA PC
- **Other names:** Jersey Rehab PA PC ( NY office only)
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265563738
- **Legal business name:** JERSEY REHAB PA PC
- **Authorized official:** ROBERT A. MARINI MD (MD)
- **Authorized official phone:** (973) 482-1614

## Contact information

- **Practice address:** 3146 E TREMONT AVE, BRONX, NY 10461-5706
- **Practice address phone:** (718) 792-6503
- **Practice address fax:** (718) 792-0096
- **Mailing address:** 15 NEWARK AVE, BELLEVILLE, NJ 07109-1123
- **Mailing address phone:** (973) 482-1614
- **Mailing address fax:** (973) 485-6126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A178991-2 | NY | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A178991-2 | NY | — |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 06/20/2014