Provider Demographics
NPI:1932226024
Name:COMMUNITY MEDICAL REFERRALS, INC.
Entity Type:Organization
Organization Name:COMMUNITY MEDICAL REFERRALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROSANIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:732-469-9580
Mailing Address - Street 1:51 W UNION AVE
Mailing Address - Street 2:PO BOX 364
Mailing Address - City:BOUND BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08805-1715
Mailing Address - Country:US
Mailing Address - Phone:732-469-9580
Mailing Address - Fax:732-469-2101
Practice Address - Street 1:51 W UNION AVE
Practice Address - Street 2:
Practice Address - City:BOUND BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08805-1715
Practice Address - Country:US
Practice Address - Phone:732-469-9580
Practice Address - Fax:732-469-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0072300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0069205Medicaid