# ELITE REHABILITATION CENTER OF PASSAIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1679866404
- **Authorized official:** MR. JOHN BARRIAGE (DIRECTOR)
- **Authorized official phone:** (973) 773-9190

## Contact information

- **Practice address:** 615 MAIN AVE, SUITE 2B, PASSAIC, NJ 07055-4920
- **Practice address phone:** (973) 773-9190
- **Practice address fax:** (973) 773-9191
- **Mailing address:** 615 MAIN AVE, SUITE 2B, PASSAIC, NJ 07055-4920
- **Mailing address phone:** (973) 773-9190
- **Mailing address fax:** (973) 773-9191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2011
- **Last updated:** 05/26/2011