Provider Demographics
NPI:1598889198
Name:CLAREMONT MEDICAL AND REHABILITATION INC.
Entity Type:Organization
Organization Name:CLAREMONT MEDICAL AND REHABILITATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:PIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSILFIE-OBENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-673-2300
Mailing Address - Street 1:134 EVERGREEN PLACE
Mailing Address - Street 2:SUITE 404
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018
Mailing Address - Country:US
Mailing Address - Phone:973-673-2300
Mailing Address - Fax:973-673-2295
Practice Address - Street 1:134 EVERGREEN PLACE
Practice Address - Street 2:SUITE 404
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018
Practice Address - Country:US
Practice Address - Phone:973-673-2300
Practice Address - Fax:973-673-2295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0020400374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9130101Medicaid
NJ0011045Medicaid
NJ000000173217OtherANCILLARY SERVICE PROVIDE
NJ0254541Medicaid
NJ0254541Medicaid