ALBERT EINSTEIN MEDICAL CENTER NPI 1144619263

NPI Information

NPI: 1144619263
Provider Name: ALBERT EINSTEIN MEDICAL CENTER

Doing Business As: MOSS REHAB - DRUCKER BRAIN INJURY CENTER (WOODBURY, NJ)

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 39D0657845

Address:
135 S BROAD ST
WOODBURY, NJ
ZIP 08096
Phone: (856) 853-9900
Get Directions

ALBERT EINSTEIN MEDICAL CENTER is a community based residential treatment facility, intellectual and/or developmental disabilities in Woodbury, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ALBERT EINSTEIN MEDICAL CENTER NPI is 1144619263. The provider is registered as an organization entity type.
The provider Is Doing Business As Moss Rehab - Drucker Brain Injury Center (woodbury, Nj).

The provider's business location address is:

135 S BROAD ST
WOODBURY, NJ
ZIP 08096-441
Phone: (856) 853-9900

The provider's authorized official is Walter G Wyatt .
The authorized official title is Assoc Vp-finance and has the following contact phone number (215) 254-3254.

The CLIA number assigned to this NPI record is 39D0657845 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/13/2015 and was last updated on 1/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		TB1078	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8079102	MEDICAID	NEW JERSEY
2	8756601	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »