Organization
THE CENTER FOR PHYSICAL MEDICINE AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LLOYD (CREDENTIALING COORDINATOR)
(732) 219-6501
Entity
Organization
Contact information
Practice address
776 SHREWSBURY AVE, STE. 203, TINTON FALLS, NJ 07724-3006
(732) 219-0333
(732) 219-6526
Mailing address
776 SHREWSBURY AVE, STE. 203, TINTON FALLS, NJ 07724-3006
(732) 219-0333
(732) 219-6526
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA62353
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0674631
DF CIGNA
—
01
—
0778591
JB CIGNA
—
01
—
1K0329
JB HEALTHNET
NJ
01
—
2598116
DF GHI
—
01
—
26Z741
JB EMPIRE
—
01
—
5218141
JB AETNA
—
01
—
5770149
DF AETNA
—
01
—
6012036
JB GHI
—
01
—
F12448
DF HEALTHNET
NJ
01
—
P00210688
JB RR M'CARE
—
01
—
P1947080
JB OXFORD
—
Enumeration date
11/08/2006
Last updated
08/22/2020
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