Red Bank Neurorehabilitation Associates, LLC
Clinical Neuropsychologist in Red Bank, NJ. Organization (NPI-2).
NPI number1780930834
StatusActive
Last updated in NPPESNov 7, 2012
Details
- NPI
- 1780930834
- Entity type
- Organization (NPI-2)
- Legal business name
- Red Bank Neurorehabilitation Associates, LLC
- Organization subpart
- No
- Enumeration date
- Jul 26, 2012
- Last updated
- Nov 7, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | – | – | Yes |
| 103TC1900X | Psychologist, Counseling | – | – | |
| 103TR0400X | Psychologist, Rehabilitation | – | – |
Practice location
12 Reckless PlRed Bank, NJ 07701-1704
Phone 908-692-9485
Mailing address
12 Reckless PlRed Bank, NJ 07701-1704
Phone 908-692-9485
Authorized official
Joseph Marcantuono
Clinical Psychologist/Partner
9086929485
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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