Provider Demographics
NPI:1790954030
Name:KARE REHABILITATION INC.
Entity Type:Organization
Organization Name:KARE REHABILITATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:PADMASHREE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ADUSUMILLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-505-5123
Mailing Address - Street 1:2 STONEHEDGE CT
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-6939
Mailing Address - Country:US
Mailing Address - Phone:732-505-5123
Mailing Address - Fax:732-818-4843
Practice Address - Street 1:14 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6402
Practice Address - Country:US
Practice Address - Phone:732-505-5123
Practice Address - Fax:732-818-4843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA067119208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7880308Medicaid
NJG86443Medicare UPIN
NJ057462Medicare PIN