Provider Demographics
NPI:1265606768
Name:NJ CENTER FOR PAIN & REHABILITATION
Entity type:Organization
Organization Name:NJ CENTER FOR PAIN & REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:908-527-7926
Mailing Address - Street 1:288 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-3711
Mailing Address - Country:US
Mailing Address - Phone:908-527-7926
Mailing Address - Fax:908-527-7937
Practice Address - Street 1:288 N BROAD ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-3711
Practice Address - Country:US
Practice Address - Phone:908-527-7926
Practice Address - Fax:908-527-7937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty