Jerseyrehab
Physical Medicine & Rehabilitation in Newark, NJ. Organization (NPI-2).
Details
- NPI
- 1801927397
- Entity type
- Organization (NPI-2)
- Legal business name
- Jerseyrehab
- Organization subpart
- Yes
- Enumeration date
- Mar 8, 2007
- Last updated
- May 16, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 25ma05600600 | NJ | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 25ma06101800 | NJ | |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | 25ma06101800 | NJ | |
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | 25ma05600600 | NJ |
Practice location
495 N 13th StNewark, NJ 07107-1317
Phone 973-268-1444 · Fax 973-482-3004
Mailing address
234 Mount Prospect AveNewark, NJ 07104-2006
Phone 973-482-1614 · Fax 973-482-2715
Authorized official
Edwin M Gangemi
MD
9734821614
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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All 23 Physical Medicine & Rehabilitation Physician providers in Newark · All 6,584 providers in Newark
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