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ADVANCED REHABILITATION LLC NPI 1790880524


NPI Information

NPI: 1790880524
Provider Name: ADVANCED REHABILITATION, LLC

Doing Business As: ADVANCED REHABILITATION OF JERSEY CITY

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
550 NEWARK AVENUE
SUITE 304
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 624-2111
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ADVANCED REHABILITATION, LLC is a chiropractor in Jersey City, NJ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ADVANCED REHABILITATION, LLC NPI is 1790880524. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Rehabilitation Of Jersey City.

The provider's business location address is:

550 NEWARK AVENUE
SUITE 304
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 624-2111

The provider's authorized official is Edward L Esposito .
The authorized official title is Owner and has the following contact phone number (201) 624-2111.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 3/4/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor38MC00648900NEW JERSEYNo
2225100000XPhysical Therapist40QA01040800NEW JERSEYNo
3111N00000XChiropractor38MC00649400NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16135400001MEDICARE NSCNEW 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: 11/14/2023

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