Provider Demographics
NPI:1184925984
Name:MANALAPAN MARLBORO REHABILITATION
Entity type:Organization
Organization Name:MANALAPAN MARLBORO REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-446-1804
Mailing Address - Street 1:104 PENSION RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8400
Mailing Address - Country:US
Mailing Address - Phone:732-792-9996
Mailing Address - Fax:
Practice Address - Street 1:104 PENSION RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8400
Practice Address - Country:US
Practice Address - Phone:732-792-9996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PINE BROOK CARE CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty