Provider Demographics
NPI:1841444882
Name:NEW LIFE REHAB MEDICINE, P.C.
Entity type:Organization
Organization Name:NEW LIFE REHAB MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THELMA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:CITTA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-630-6000
Mailing Address - Street 1:1175 MARLKRESS ROAD
Mailing Address - Street 2:#4353
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-0661
Mailing Address - Country:US
Mailing Address - Phone:856-346-3469
Mailing Address - Fax:856-346-9456
Practice Address - Street 1:119 EAST LAUREL ROAD
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1324
Practice Address - Country:US
Practice Address - Phone:856-346-3469
Practice Address - Fax:856-346-9456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic MedicineGroup - Multi-Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty