Provider Demographics
NPI:1083753727
Name:CENTER FOR VOCATIONAL REHAB
Entity Type:Organization
Organization Name:CENTER FOR VOCATIONAL REHAB
Other - Org Name:MONMOUTH CTR FOR VOC REHAB
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VP CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:COSENZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-544-1800
Mailing Address - Street 1:15 MERIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2242
Mailing Address - Country:US
Mailing Address - Phone:732-544-1800
Mailing Address - Fax:732-389-3453
Practice Address - Street 1:1451 ROUTE 37 W
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-4969
Practice Address - Country:US
Practice Address - Phone:732-244-7511
Practice Address - Fax:732-244-7553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7642300Medicaid