Provider Demographics
NPI:1013196203
Name:QUALITY CARE REHABILITATION LLC
Entity Type:Organization
Organization Name:QUALITY CARE REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ESMAT
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:EL HALIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-936-4208
Mailing Address - Street 1:16 E 5TH STREET
Mailing Address - Street 2:
Mailing Address - City:BAYONNE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-4218
Mailing Address - Country:US
Mailing Address - Phone:201-332-9988
Mailing Address - Fax:201-332-4552
Practice Address - Street 1:1755 JOHN F KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-1900
Practice Address - Country:US
Practice Address - Phone:201-332-9988
Practice Address - Fax:201-332-4552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ092068Medicare PIN