# NORTH JERSEY THERAPY CENTER LLC

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

## Provider details

- **NPI number:** 1649374174
- **Authorized official:** MR. GIACOMO LONGO (ADMINISTRATOR)
- **Authorized official phone:** (973) 595-7500

## Contact information

- **Practice address:** 500 VALLEY RD, SUITE 101, WAYNE, NJ 07470
- **Practice address phone:** (973) 595-7500
- **Practice address fax:** (973) 595-7770
- **Mailing address:** 500 VALLEY RD, SUITE 101, WAYNE, NJ 07470
- **Mailing address phone:** (973) 595-7500
- **Mailing address fax:** (973) 595-7770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 01/13/2020