Provider Demographics
NPI:1235200197
Name:CONSULTANTS IN REHABILITATION MEDICINE,LLC
Entity Type:Organization
Organization Name:CONSULTANTS IN REHABILITATION MEDICINE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ISAAC
Authorized Official - Last Name:ABEND
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:908-963-5782
Mailing Address - Street 1:3830 PARK AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2562
Mailing Address - Country:US
Mailing Address - Phone:908-226-1300
Mailing Address - Fax:908-226-1301
Practice Address - Street 1:3830 PARK AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2562
Practice Address - Country:US
Practice Address - Phone:908-226-1300
Practice Address - Fax:908-226-1301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB051891225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ026827Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER