# ARDENT REHAB OF NJ LLC

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

## Provider details

- **NPI number:** 1558127738
- **Authorized official:** CYRIL SANCIANGCO PT (MANAGER)
- **Authorized official phone:** (973) 714-1152

## Contact information

- **Practice address:** 2444 MORRIS AVE STE 218, UNION, NJ 07083-5711
- **Practice address phone:** (973) 714-1152
- **Mailing address:** 90 KEW DR, SPRINGFIELD, NJ 07081-2505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 03/21/2024