Provider Demographics
NPI:1003961863
Name:FRANK AND SUSSMAN, INC.
Entity Type:Organization
Organization Name:FRANK AND SUSSMAN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTRL
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:973-252-9292
Mailing Address - Street 1:66 SUNSET STRIP STE 409
Mailing Address - Street 2:
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-1362
Mailing Address - Country:US
Mailing Address - Phone:973-252-9292
Mailing Address - Fax:
Practice Address - Street 1:66 SUNSET STRIP STE 409
Practice Address - Street 2:
Practice Address - City:SUCCASUNNA
Practice Address - State:NJ
Practice Address - Zip Code:07876-1362
Practice Address - Country:US
Practice Address - Phone:973-252-9292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00047900261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
316549Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER