# BACHARACH INSTITUTE FOR REHABILITATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bacharach Rehab Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922171560
- **Authorized official:** MS. NANCY F. PRICE CPAM (DIRECTOR PATIENT FINANCIAL SERVICES)
- **Authorized official phone:** (609) 748-5454

## Contact information

- **Practice address:** 61 W JIMMIE LEEDS ROAD, POMONA, NJ 08240-0723
- **Practice address phone:** (609) 652-7000
- **Practice address fax:** (609) 748-7755
- **Mailing address:** 61 W JIMMIE LEEDS ROAD, POMONA, NJ 08240-0723
- **Mailing address phone:** (609) 652-7000
- **Mailing address fax:** (609) 748-7755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NJ | — |
| 225400000X | Rehabilitation Practitioner | — | NJ | Yes |
| 363L00000X | Nurse Practitioner | — | NJ | — |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 11/02/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 665930 | MEDICARE ID-TYPE UNSPECIFIED | NJ |
| 05 | — | 7070004 | — | NJ |
| 01 | — | CB9450 | MEDICARE B RAILROAD | NJ |