Provider Demographics
NPI:1124201710
Name:ACUMEDCARE, CORP.
Entity Type:Organization
Organization Name:ACUMEDCARE, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-674-4848
Mailing Address - Street 1:280 S HARRISON ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-1960
Mailing Address - Country:US
Mailing Address - Phone:973-674-4848
Mailing Address - Fax:973-674-4499
Practice Address - Street 1:280 S HARRISON ST
Practice Address - Street 2:SUITE 201
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1960
Practice Address - Country:US
Practice Address - Phone:973-674-4848
Practice Address - Fax:973-674-4499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNUMBER PENDING261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)