Provider Demographics
NPI:1609988757
Name:AUSTIN REHAB, INC.
Entity Type:Organization
Organization Name:AUSTIN REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PRAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-726-9257
Mailing Address - Street 1:PO BOX 2509
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07438-2509
Mailing Address - Country:US
Mailing Address - Phone:973-726-9257
Mailing Address - Fax:973-726-9361
Practice Address - Street 1:117 WATERFORD TOWERS
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-2301
Practice Address - Country:US
Practice Address - Phone:201-840-5330
Practice Address - Fax:201-917-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ316684225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ316684Medicare ID - Type UnspecifiedOUTPATIENT REHAB FACILITY