Provider Demographics
NPI:1720585169
Name:COMPREHENSIVE PHYSICAL MEDICINE AND REHABILITATION OF NEW JERSEY
Entity Type:Organization
Organization Name:COMPREHENSIVE PHYSICAL MEDICINE AND REHABILITATION OF NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELEFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-880-6227
Mailing Address - Street 1:652 WINTHROP RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2246
Mailing Address - Country:US
Mailing Address - Phone:917-880-6227
Mailing Address - Fax:
Practice Address - Street 1:749 IRVINGTON AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-1607
Practice Address - Country:US
Practice Address - Phone:917-880-6227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA065891002081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty