Provider Demographics
NPI:1811069255
Name:SOMERSET REHABILITATION SERVICES, P.A.
Entity type:Organization
Organization Name:SOMERSET REHABILITATION SERVICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KASSERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-725-1144
Mailing Address - Street 1:903 US HIGHWAY 202
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-1419
Mailing Address - Country:US
Mailing Address - Phone:908-725-1144
Mailing Address - Fax:
Practice Address - Street 1:903 US HIGHWAY 202
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1419
Practice Address - Country:US
Practice Address - Phone:908-725-1144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2012-11-02
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
NJ0460312OtherAETNA NUMBER
NJ204441OtherHEALTHNET NUMBER
NJP1649158OtherOXFORD NUMBER
NJ114251300OtherDEPT OF LABOR
NJP1649158OtherOXFORD NUMBER