Provider Demographics
NPI:1336557313
Name:HEALING REHAB,LLC
Entity Type:Organization
Organization Name:HEALING REHAB,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PARUL
Authorized Official - Middle Name:U
Authorized Official - Last Name:DIXIT
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:732-742-5435
Mailing Address - Street 1:2277 ROUTE 33
Mailing Address - Street 2:SUITE 411
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1700
Mailing Address - Country:US
Mailing Address - Phone:609-838-7284
Mailing Address - Fax:609-838-7285
Practice Address - Street 1:2277 ROUTE 33
Practice Address - Street 2:SUITE 411
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1700
Practice Address - Country:US
Practice Address - Phone:609-838-7284
Practice Address - Fax:609-838-7285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-23
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01050400261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ196695YC52Medicare PIN