Provider Demographics
NPI:1710910799
Name:PULMONARY OUTPATIENT REHAB SERVICES, INC.
Entity Type:Organization
Organization Name:PULMONARY OUTPATIENT REHAB SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ALBANESE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:201-750-4500
Mailing Address - Street 1:830 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07648-1600
Mailing Address - Country:US
Mailing Address - Phone:201-750-4500
Mailing Address - Fax:201-750-7603
Practice Address - Street 1:830 BROADWAY
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07648-1600
Practice Address - Country:US
Practice Address - Phone:201-750-4500
Practice Address - Fax:201-750-7603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
ANC003OtherOXFORD
NJ3211207Medicaid
0128010001Medicare NSC