Provider Demographics
NPI:1275548653
Name:REHABILITATION MEDICINE CENTER OF NEW JERSEY P.A.
Entity Type:Organization
Organization Name:REHABILITATION MEDICINE CENTER OF NEW JERSEY P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KRAMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-709-9200
Mailing Address - Street 1:1350 STATE ROUTE 23
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5839
Mailing Address - Country:US
Mailing Address - Phone:973-709-9200
Mailing Address - Fax:973-709-9207
Practice Address - Street 1:1350 STATE ROUTE 23
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5839
Practice Address - Country:US
Practice Address - Phone:973-709-9200
Practice Address - Fax:973-709-9207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6292120001Medicare NSC
NJ526633Medicare PIN