Provider Demographics
NPI:1649293069
Name:ACCESS PHYSICAL REHABILITATION ASSOCIATES, LLC
Entity type:Organization
Organization Name:ACCESS PHYSICAL REHABILITATION ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAJARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-563-0070
Mailing Address - Street 1:7 CEDAR GROVE LN
Mailing Address - Street 2:SUITE 35
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1331
Mailing Address - Country:US
Mailing Address - Phone:732-563-0070
Mailing Address - Fax:732-563-0025
Practice Address - Street 1:7 CEDAR GROVE LN
Practice Address - Street 2:SUITE 35
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1331
Practice Address - Country:US
Practice Address - Phone:732-563-0070
Practice Address - Fax:732-563-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ090261Medicare ID - Type Unspecified