INDEPENDENCE REHAB SERVICES PC NPI 1053366690

NPI Information

NPI: 1053366690
Provider Name: INDEPENDENCE REHAB SERVICES PC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1030 KINGS HWY N
SUITE 210
CHERRY HILL, NJ
ZIP 08034
Phone: (856) 321-1900
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INDEPENDENCE REHAB SERVICES PC is a rehabilitation clinic center in Cherry Hill, NJ. INDEPENDENCE REHAB SERVICES PC NPI is 1053366690. The provider is registered as an organization entity type.

The provider's business location address is:

1030 KINGS HWY N
SUITE 210
CHERRY HILL, NJ
ZIP 08034-907
Phone: (856) 321-1900
Fax: (856) 321-1107

The provider's authorized official is Shirvell M Thomas .
The authorized official title is Chief Operating Officer and has the following contact phone number (856) 321-1900.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 3/3/2011.

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	261QR0400X	Clinic/Center	Rehabilitation			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	316628	MEDICARE PIN	NEW JERSEY
2	6337601	MEDICAID	NEW JERSEY
3	316628	OTHER	NEW JERSEY	HORIZON BCBS
4	525894	OTHER	NEW JERSEY	AETNA USHEALTHCARE

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: 4/28/2024

NPI Synchronization or Removal

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