Provider Demographics
NPI:1245696541
Name:NAMAH REHABILITATION LLC
Entity type:Organization
Organization Name:NAMAH REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VARSHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:POHUJA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-216-7602
Mailing Address - Street 1:21 WINGED FOOT DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-9332
Mailing Address - Country:US
Mailing Address - Phone:732-216-7602
Mailing Address - Fax:
Practice Address - Street 1:24 DUGANS GROVE ROAD
Practice Address - Street 2:
Practice Address - City:MILLSTONE
Practice Address - State:NJ
Practice Address - Zip Code:08535
Practice Address - Country:US
Practice Address - Phone:732-216-7602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation