Northern Rehab Inc.
May also be knows as Northern Rehabilitation Agency
Legal Business Name
Northern Rehab Inc.
Also Known As
Northern Rehabilitation Agency
NPI Number
1326100413
NPI Type
Organization
Enumeration Date
12/14/2006
Specialties
(Taxonomies)Code
225X00000X
225100000X
235Z00000X
Primary Taxonomy
No
No
No
Licenses
State
New Jersey
New Jersey
New Jersey
License Number
46TR00404000
40QA00347900
41YS00463300
Contact
Information
Purpose
Mailing
Location
Address
401 HAMBURG TPKE
401 HAMBURG TPKE
City
Wayne
Wayne
State
NJ
NJ
Postal Code
07470-2154
07470-2154
Country
US
US
Telephone Number
(973) 790-9010
(973) 790-9010
Authorized Official
Name
Dr. Shakeel Qazi
Title or Position
EXECUTIVE DIRECTOR
Telephone Number
(973) 790-9010
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020