Provider Demographics
NPI:1194006981
Name:ATLANTIC REHABILITATION MEDICINE ASSOCIATES PA
Entity Type:Organization
Organization Name:ATLANTIC REHABILITATION MEDICINE ASSOCIATES PA
Other - Org Name:ATLANTIC REHABILITATION MEDICINE ASSOCIATES PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AZAD
Authorized Official - Middle Name:V
Authorized Official - Last Name:BHATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-905-5499
Mailing Address - Street 1:9 HOSPITAL DR STE C25
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6425
Mailing Address - Country:US
Mailing Address - Phone:732-736-0100
Mailing Address - Fax:866-800-0480
Practice Address - Street 1:9120 BALMORAL MEWS SQ
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-6208
Practice Address - Country:US
Practice Address - Phone:609-680-7658
Practice Address - Fax:866-800-0480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-07
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME58516208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty