NPI |
1336642347 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
2 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Employer Identification Number EIN |
|
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified. |
Provider Organization Name Legal Business Name |
STAR REHABS, INC |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Provider First Line Business Practice Location Address |
120 W 7TH ST STE 200 |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
Provider Business Practice Location Address City Name |
PLAINFIELD |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
NJ |
The State code in the location of the provider
being identified. |
Provider Business Practice Location Address Postal Code |
070601629 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address Telephone Number |
9088342575 |
The abbreviations for professional degrees or credentials used or held by the provider,
if the provider is an individual. Examples
are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations
will not be verified by NPS. |
Provider Business Practice Location Address Fax Number |
9088342863 |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
Provider Enumeration Date |
3/15/2018 |
The city name in the location address of the provider being identified. |
Last Update Date |
5/31/2023 |
The State code in the location of the provider
being identified. |
Authorized Official Last Name |
PATEL |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Authorized Official First Name |
SWAPNA |
The country code in the location address of the provider being identified. |
Authorized Official Middle Name |
J |
The telephone number associated with the location address of the provider being identified. |
Authorized Official Title or Position |
PRESIDENT |
The fax number associated with the location
address of the provider being identified. |
Authorized Official Telephone Number |
9088342575 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Healthcare Provider Taxonomy Code 1 |
225100000X |
The date that a record was last updated or changed. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
The code designating the provider’s gender if the provider is a person. |
Is Organization Subpart |
N |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Authorized Official Name Prefix Text |
DR. |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Authorized Official Credential Text |
DPT |
|
Healthcare Provider Taxonomy Group 1 |
193200000X MULTI-SPECIALTY GROUP |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |
NPI Certification Date |
5/31/2023 |
|