# OPTIMA MEDICAL REHABILITATION P A.

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

## Provider details

- **NPI number:** 1659709129
- **Authorized official:** DR. ELLEN SOBERMAN NOVICK M.D. (PRESIDENT)
- **Authorized official phone:** (908) 591-1359

## Contact information

- **Practice address:** 1 GREENWOOD AVE, SUITE 100, MONTCLAIR, NJ 07042-3649
- **Practice address phone:** (973) 746-2424
- **Practice address fax:** (973) 746-5030
- **Mailing address:** 225 ROUTE 35, SUITE 208, RED BANK, NJ 07701-5919
- **Mailing address phone:** (732) 383-4173
- **Mailing address fax:** (732) 383-6904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MA05002200 | NJ | Yes |

## Other

- **Enumeration date:** 10/21/2013
- **Last updated:** 05/14/2014